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General NPI Number Information
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NPI Number | 1790699080
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC HEALTH & REHAB LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/04/2026
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Provider Practice Location Address
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Address Line | 11492 BLUEGRASS PKWY STE 101
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City | LOUISVILLE
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State | KY
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Zip | 40299-2334
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Country | US
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Telephone | 502-873-6338
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Fax | 502-719-9467
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Provider Business Mailing Address
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Address Line | PO BOX 5718
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City | KALISPELL
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State | MT
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Zip | 59903-5718
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Country | US
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Telephone | 406-756-0134
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Fax | 406-309-2579
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BLAINE STIMAC
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Credential | MSPT
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Telephone | 406-756-1128
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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 |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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