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General NPI Number Information
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NPI Number | 1720520935
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Entity Type | Organization
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Legal Business Name | MYERS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 158 FROG POND CIR
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City | FAIRBANKS
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State | AK
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Zip | 99712-1244
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Country | US
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Telephone | 907-251-5472
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Fax | 907-600-1823
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Provider Business Mailing Address
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Address Line | 158 FROG POND CIR
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City | FAIRBANKS
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State | AK
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Zip | 99712-1244
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Country | US
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Telephone | 907-251-5472
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Fax | 907-600-1823
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ELIZABETH LEE MYERS
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Credential | PT
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Telephone | 907-987-4584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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