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General NPI Number Information
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NPI Number | 1598884322
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Entity Type | Organization
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Legal Business Name | INSTITUTE OF REHAB HEALTH AND FITNE
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7213 W 161ST ST
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City | STILWELL
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State | KS
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Zip | 66085-8879
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Country | US
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Telephone | 913-681-0606
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Fax | 913-681-0605
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Provider Business Mailing Address
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Address Line | 7213 W 161ST ST
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City | STILWELL
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State | KS
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Zip | 66085-8879
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Country | US
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Telephone | 913-681-0606
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Fax | 913-681-0605
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Authorized Official
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Title or Position | OWNER PHYSICAL THERAPIST
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Name | MS. SHELLEY LEWIS
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Credential | PT
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Telephone | 913-681-0606
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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 | KS
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