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General NPI Number Information
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NPI Number | 1760662233
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Entity Type | Organization
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Legal Business Name | THERASPORT, INC.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 598 MAIN ST E
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City | RAINSVILLE
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State | AL
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Zip | 35986-4541
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Country | US
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Telephone | 256-638-1150
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Fax | 256-638-1158
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Provider Business Mailing Address
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Address Line | PO BOX 1966
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City | RAINSVILLE
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State | AL
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Zip | 35986-1966
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Country | US
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Telephone | 256-638-1150
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MINDI MEADOWS
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Credential | PT, DPT, MS, ATC
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Telephone | 256-638-1150
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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 | PTH3371
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License Number State | AL
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Taxonomy #2
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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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