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General NPI Number Information
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NPI Number | 1831980515
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Entity Type | Organization
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Legal Business Name | TMT PHYSICAL THERAPY SERVICES, PC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 260 FALLS AVE STE D
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City | TWIN FALLS
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State | ID
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Zip | 83301-3370
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Country | US
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Telephone | 208-410-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 3318 OREGON TRAIL LN
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City | KIMBERLY
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State | ID
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Zip | 83341-5349
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Country | US
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Telephone | 208-410-9611
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK TAYLOR
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Credential | DPT
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Telephone | 208-410-9611
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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 |
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