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General NPI Number Information
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NPI Number | 1619785060
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Entity Type | Organization
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Legal Business Name | EMPOWERED THROUGH MOVEMENT PLLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 4081 W 16TH AVE
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City | DENVER
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State | CO
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Zip | 80204-2065
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Country | US
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Telephone | 620-323-0069
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Fax | 720-615-0965
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Provider Business Mailing Address
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Address Line | 4081 W 16TH AVE
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City | DENVER
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State | CO
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Zip | 80204-2065
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Country | US
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Telephone | 620-323-0069
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Fax | 720-615-0965
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | TY J. SIMONS
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Credential | DPT
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Telephone | 720-927-6759
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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 |
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