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General NPI Number Information
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NPI Number | 1851090419
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Entity Type | Organization
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Legal Business Name | KNOB CREEK PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 2889 KNOB CREEK RD
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2112
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Country | US
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Telephone | 423-341-7181
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Fax |
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Provider Business Mailing Address
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Address Line | 2889 KNOB CREEK RD
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2112
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Country | US
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Telephone | 423-341-7181
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | CATHERINE J SINK
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Credential | PT, DPT
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Telephone | 423-341-7181
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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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