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General NPI Number Information
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NPI Number | 1851654958
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Entity Type | Organization
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Legal Business Name | THERAMAXX THERAPEUTIC SOLUTIONS LLC
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 120 PARK ST
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City | MORGANFIELD
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State | KY
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Zip | 42437-1500
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Country | US
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Telephone | 270-389-6299
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Fax | 270-389-1311
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Provider Business Mailing Address
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Address Line | PO BOX 740
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City | MORGANFIELD
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State | KY
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Zip | 42437-0740
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Country | US
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Telephone | 270-389-6299
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Fax | 270-389-1311
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. JEANNE B. MEUTH
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Credential | PT, DPT
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Telephone | 270-389-6299
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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 | 005839
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License Number State | KY
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