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General NPI Number Information
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NPI Number | 1689725830
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Entity Type | Individual
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Provider Name | KATHERINE LEFRID PT, DPT, LMT
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 854 WASHINGTON AVE STE 200
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City | HOLLAND
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State | MI
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Zip | 49423-7143
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Country | US
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Telephone | 616-392-9430
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 DEER HAVEN DR
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City | JENISON
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State | MI
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Zip | 49428-8799
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Country | US
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Telephone | 321-278-5906
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA48828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501019854
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT20926
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License Number State | FL
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