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General NPI Number Information
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NPI Number | 1902717085
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Entity Type | Individual
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Provider Name | ALEXIS ROSE TODD DPT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 55 UNITYPOINT WAY STE 70
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-4749
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Country | US
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Telephone | 641-754-6120
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Fax |
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Provider Business Mailing Address
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Address Line | 6623 DEERPATH RD
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City | LAKE GENEVA
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State | WI
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Zip | 53147-3691
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Country | US
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Telephone | 262-903-4216
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 17911-24
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License Number State | WI
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