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General NPI Number Information
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NPI Number | 1760156848
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Entity Type | Organization
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Legal Business Name | TENSEGRITY PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 5501 N ORACLE RD STE 101
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City | TUCSON
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State | AZ
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Zip | 85704-3850
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Country | US
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Telephone | 520-243-0518
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Fax |
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Provider Business Mailing Address
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Address Line | 1390 E PLACITA MAPACHE
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City | TUCSON
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State | AZ
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Zip | 85718-3929
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Country | US
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Telephone | 520-243-0518
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/MANAGING MEMBER
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Name | DR. MICHAELA PATRICE GAITHER
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Credential | DPT
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Telephone | 520-243-0518
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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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