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General NPI Number Information
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NPI Number | 1861161887
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Entity Type | Individual
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Provider Name | KATERI RYBICKI SILVERTHORN DPT
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Gender | Female
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 1020 GRATIOT BLVD STE B
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City | MARYSVILLE
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State | MI
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Zip | 48040-2310
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Country | US
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Telephone | 810-201-4728
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Fax | 810-821-8636
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Provider Business Mailing Address
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Address Line | 1020 GRATIOT BLVD STE B
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City | MARYSVILLE
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State | MI
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Zip | 48040-2310
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Country | US
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Telephone | 810-201-4728
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Fax | 810-821-8636
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5501020257
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License Number State | MI
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