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General NPI Number Information
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NPI Number | 1578157772
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Entity Type | Organization
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Legal Business Name | HEALTHSPAN PHYSICAL THERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 02/27/2021
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 4424 N SAGINAW RD
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City | MIDLAND
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State | MI
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Zip | 48640-2370
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Country | US
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Telephone | 989-495-2255
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Fax | 989-495-2256
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Provider Business Mailing Address
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Address Line | 4424 N SAGINAW RD
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City | MIDLAND
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State | MI
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Zip | 48640-2370
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Country | US
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Telephone | 989-495-2255
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Fax | 989-495-2256
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | JORDAN SCHMIDT
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Credential | PT, DPT
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Telephone | 989-615-0587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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