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General NPI Number Information
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NPI Number | 1902756216
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Entity Type | Organization
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Legal Business Name | FIT 4 LIVING PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 16555 AGNES ST
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City | GARDNER
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State | KS
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Zip | 66030-8911
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Country | US
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Telephone | 913-271-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 16555 AGNES ST
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City | GARDNER
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State | KS
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Zip | 66030-8911
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Country | US
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Telephone | 913-271-0900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRACY RENEE COCHRAN
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Credential | PT, MS
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Telephone | 913-271-0900
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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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