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NPI 1588454730

NPI 1588454730 : FIVE AND TWO THERAPY AND WELLNESS, PLLC : GREENBRIER, TN

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General NPI Number Information
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    NPI Number           |    1588454730
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIVE AND TWO THERAPY AND WELLNESS, PLLC 
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Dates
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    Enumeration Date     |    05/10/2025
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    Last Update Date     |    05/10/2025
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Provider Practice Location Address
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    Address Line         |    6398 MORTON ROAD EXT 
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    City                 |    GREENBRIER
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    State                |    TN
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    Zip                  |    37073-5793
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    Country              |    US
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    Telephone            |    615-557-3706
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6398 MORTON ROAD EXT 
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    City                 |    GREENBRIER
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    State                |    TN
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    Zip                  |    37073-5793
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    Country              |    US
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    Telephone            |    615-557-3706
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |    DR. MATTHEW THOMAS YOUNG 
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    Credential           |    OTD, OTR/L
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    Telephone            |    615-557-3706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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