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General NPI Number Information
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NPI Number | 1679405807
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Entity Type | Organization
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Legal Business Name | CADENCE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 7655 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-5001
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Country | US
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Telephone | 314-312-1402
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Fax |
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Provider Business Mailing Address
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Address Line | 117 S LEXINGTON ST STE 100
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2443
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | NICHOLAS HENNICKE
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Credential | DPT
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Telephone | 314-312-1402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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