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General NPI Number Information
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NPI Number | 1679382998
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Entity Type | Organization
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Legal Business Name | VIBRANIUM THERAPY & WELLNESS
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Dates
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Enumeration Date | 01/01/2025
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Last Update Date | 01/01/2025
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Provider Practice Location Address
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Address Line | 3733 WESTHEIMER RD STE 1-4134
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City | HOUSTON
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State | TX
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Zip | 77027-5271
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Country | US
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Telephone | 832-562-5097
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Fax |
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Provider Business Mailing Address
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Address Line | 3733 WESTHEIMER RD STE 1-4134
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City | HOUSTON
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State | TX
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Zip | 77027-5271
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Country | US
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Telephone | 832-562-5097
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DR. ASHLEY JOHNSON
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Credential | PT
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Telephone | 470-261-1920
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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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