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General NPI Number Information
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NPI Number | 1689356214
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Entity Type | Organization
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Legal Business Name | TKC THERAPY, LLC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 4012 LITTLE ROAD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655
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Country | US
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Telephone | 727-564-9938
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Fax | 727-565-1431
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Provider Business Mailing Address
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Address Line | 1101 HERR LN
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City | LOUISVILLE
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State | KY
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Zip | 40222-4301
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Country | US
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Telephone | 502-210-5538
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Fax | 502-327-5098
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Authorized Official
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Title or Position | PRESIDENT
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Name | JODY ROGERS
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Credential |
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Telephone | 502-210-5538
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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