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General NPI Number Information
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NPI Number | 1891648440
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Entity Type | Organization
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Legal Business Name | JAM PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 3065 N BEND RD STE C
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City | HEBRON
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State | KY
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Zip | 41048-2502
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Country | US
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Telephone | 859-267-2293
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Fax |
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Provider Business Mailing Address
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Address Line | 2176 W HORIZON DR
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City | HEBRON
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State | KY
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Zip | 41048-9524
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Country | US
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Telephone | 859-609-0337
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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 | MATTHEW ROBERT GRAESSLE
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Credential | PT
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Telephone | 859-609-0337
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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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