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General NPI Number Information
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NPI Number | 1689339087
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Entity Type | Organization
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Legal Business Name | BETTERSTEP PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 19340 142ND PL SE
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City | RENTON
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State | WA
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Zip | 98058-9446
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Country | US
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Telephone | 775-671-5159
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Fax |
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Provider Business Mailing Address
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Address Line | 19340 142ND PL SE
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City | RENTON
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State | WA
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Zip | 98058-9446
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Country | US
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Telephone | 775-671-5159
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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 | DR. KELSEY ANNE CHICVARA
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Credential | PT
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Telephone | 775-671-5159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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