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General NPI Number Information
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NPI Number | 1720885510
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Entity Type | Individual
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Provider Name | KATHRYN WHITNEY PTA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1818 W WORLEY ST
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City | COLUMBIA
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State | MO
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Zip | 65203-1038
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Country | US
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Telephone | 573-214-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 9550 S TOMLIN HILL RD
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City | COLUMBIA
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State | MO
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Zip | 65201-9350
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Country | US
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Telephone | 614-937-6337
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2022041273
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License Number State | MO
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