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NPI 1801331061

NPI 1801331061 : PRECISE PHYSICAL THERAPY, LLC : KANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1801331061
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISE PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    12/27/2016
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    Last Update Date     |    01/26/2017
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Provider Practice Location Address
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    Address Line         |    2040 HUTTON RD STE 104
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    City                 |    KANSAS CITY
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    State                |    KS
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    Zip                  |    66109-4526
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    Country              |    US
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    Telephone            |    913-725-8340
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    Fax                  |    913-228-1339
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Provider Business Mailing Address
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    Address Line         |    200 W DOUGLAS AVE STE 1040 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67202-3017
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    Country              |    US
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    Telephone            |    316-263-0003
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    Fax                  |    316-263-1241
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BETH  HOFER 
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    Credential           |    MPT
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    Telephone            |    913-299-9616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |    
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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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