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General NPI Number Information
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NPI Number | 1891212346
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Entity Type | Organization
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Legal Business Name | BREATHE. PHYSICAL THERAPY & WELLNESS
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 08/25/2017
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Provider Practice Location Address
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Address Line | 2614 BEAVER AVE
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City | DES MOINES
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State | IA
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Zip | 50310-3908
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Country | US
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Telephone | 515-965-7606
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Fax |
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Provider Business Mailing Address
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Address Line | 2614 BEAVER AVE
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City | DES MOINES
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State | IA
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Zip | 50310-3908
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. MOLLY LECHTENBERG
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Credential | PT, DPT
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Telephone | 515-954-7606
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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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