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General NPI Number Information
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NPI Number | 1568114767
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Entity Type | Organization
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Legal Business Name | MOVEMENT THEORY PHYSICAL THERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 6350 GLENVIEW DR STE 108
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-9584
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Country | US
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Telephone | 817-907-7993
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Fax | 877-887-2564
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Provider Business Mailing Address
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Address Line | 3736 VENICE DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-1536
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Country | US
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Telephone |
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Fax | 877-887-2564
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Authorized Official
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Title or Position | OWNER/LICENSED PHYSICAL THERAPIST
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Name | JARRED TOBIN
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Credential | DPT
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Telephone | 817-907-7993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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