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General NPI Number Information
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NPI Number | 1891451621
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Entity Type | Organization
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Legal Business Name | KEY PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 3350 W AMERICANA TERRACE 210 A ROOM 3
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City | BOISE
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State | ID
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Zip | 83706
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Country | US
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Telephone | 208-994-5323
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Fax |
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Provider Business Mailing Address
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Address Line | 2831 E BERGESON ST
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City | BOISE
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State | ID
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Zip | 83706-5760
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Country | US
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Telephone | 208-994-5323
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MARY ZUERCHER
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Credential | DPT
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Telephone | 208-994-5323
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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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