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NPI 1700081239

NPI 1700081239 : ALLIANCE PHYSICAL THERAPY, LLC : ROCK SPRINGS, WY

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General NPI Number Information
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    NPI Number           |    1700081239
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANCE PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    06/15/2007
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    1977 DEWAR DR J
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5737
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    Country              |    US
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    Telephone            |    307-382-3228
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    Fax                  |    307-382-6886
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1244 
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    City                 |    MOUNTAIN VIEW
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    State                |    WY
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    Zip                  |    82939-1244
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    Country              |    US
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    Telephone            |    307-705-3300
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. DAREN L MARTIN 
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    Credential           |    MPT
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    Telephone            |    307-382-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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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        |    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 #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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