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General NPI Number Information
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NPI Number | 1619868080
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Entity Type | Organization
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Legal Business Name | LIFE IN MOTION PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1497 CENTRAL AVE
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City | DUBUQUE
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State | IA
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Zip | 52001-4853
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Country | US
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Telephone | 563-204-8343
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Fax |
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Provider Business Mailing Address
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Address Line | 2067 CLIFFORD ST
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City | DUBUQUE
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State | IA
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Zip | 52002-0448
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Country | US
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Telephone | 563-543-3400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOGAN LYNCH
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Credential | PT
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Telephone | 563-543-3400
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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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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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