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NPI 1881644466

NPI 1881644466 : MUSCATINE PHYSICAL THERAPY SERVICES, P.C. : MUSCATINE, IA

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General NPI Number Information
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    NPI Number           |    1881644466
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUSCATINE PHYSICAL THERAPY SERVICES, P.C. 
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Dates
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    Enumeration Date     |    05/12/2006
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    Last Update Date     |    09/23/2009
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Provider Practice Location Address
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    Address Line         |    2109 CEDARWOOD DR SUITE 100
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    City                 |    MUSCATINE
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    State                |    IA
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    Zip                  |    52761-2661
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    Country              |    US
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    Telephone            |    563-288-6787
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    Fax                  |    563-288-6719
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Provider Business Mailing Address
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    Address Line         |    2109 CEDARWOOD DR SUITE 100
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    City                 |    MUSCATINE
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    State                |    IA
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    Zip                  |    52761-2661
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    Country              |    US
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    Telephone            |    563-288-6787
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    Fax                  |    563-288-6719
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. PAUL OLINGER KRAUSHAAR 
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    Credential           |    P.T.
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    Telephone            |    563-288-6787
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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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