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General NPI Number Information
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NPI Number | 1730371097
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Entity Type | Organization
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Legal Business Name | STURGIS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 1530 JUNCTION AVENUE
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City | STURGIS
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State | SD
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Zip | 57785-2124
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Country | US
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Telephone | 605-720-2555
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Fax | 605-720-2560
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Provider Business Mailing Address
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Address Line | 1530 JUNCTION AVE
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City | STURGIS
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State | SD
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Zip | 57785-2124
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Country | US
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Telephone | 605-720-2555
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Fax | 605-720-2560
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | BRETT ALAN LYNASS
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Credential | P.T.
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Telephone | 605-720-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0245
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License Number State | SD
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