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General NPI Number Information
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NPI Number | 1568855765
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Entity Type | Organization
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Legal Business Name | THERAPY IN MOTION INC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 6713 VERMONT AVE
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City | RAYTOWN
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State | MO
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Zip | 64133-6140
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Country | US
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Telephone | 816-547-9654
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Fax | 816-832-2874
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Provider Business Mailing Address
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Address Line | 6713 VERMONT AVE
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City | RAYTOWN
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State | MO
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Zip | 64133-6140
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Country | US
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Telephone | 816-547-9654
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Fax | 816-832-2874
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE L WALSH
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Credential | RPT
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Telephone | 816-547-9654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1102863
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License Number State | KS
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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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