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General NPI Number Information
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NPI Number | 1669365839
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Entity Type | Organization
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Legal Business Name | TREADWELL, DPT LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 2500 HIGHWAY 88 STE 214
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City | MINNEAPOLIS
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State | MN
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Zip | 55418-4228
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Country | US
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Telephone | 901-626-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 S 2ND ST APT 516
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City | MINNEAPOLIS
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State | MN
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Zip | 55415-2133
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Country | US
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Telephone | 901-626-8996
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUSTIN TREADWELL
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Credential | DPT
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Telephone | 901-626-8996
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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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