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General NPI Number Information
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NPI Number | 1871062646
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Entity Type | Organization
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Legal Business Name | MADISON THERAPY & WELLNESS PLLC
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 235 SW DADE ST STE B
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City | MADISON
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State | FL
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Zip | 32340-2363
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Country | US
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Telephone | 850-973-2929
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Fax | 850-973-3939
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Provider Business Mailing Address
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Address Line | 235 SW DADE ST STE B
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City | MADISON
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State | FL
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Zip | 32340-2363
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Country | US
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Telephone | 850-973-2929
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Fax | 850-973-3939
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DR. KRISTIN CAMPBELL SEARCY
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Credential | DPT
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Telephone | 850-464-0594
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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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Taxonomy #2
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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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