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General NPI Number Information
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NPI Number | 1568323772
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Entity Type | Organization
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Legal Business Name | HYPT LLC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 554 S 5400 W
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City | MALAD CITY
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State | ID
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Zip | 83252-6556
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Country | US
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Telephone | 208-201-0519
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Fax |
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Provider Business Mailing Address
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Address Line | 554 S 5400 W
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City | MALAD CITY
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State | ID
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Zip | 83252-6556
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Country | US
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Telephone | 208-201-0519
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. MICAH DEAN WEBER
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Credential | DPT
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Telephone | 208-220-1105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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