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General NPI Number Information
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NPI Number | 1912681628
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Entity Type | Individual
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Provider Name | KIERSTEN PRATER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 323 E TOWN ST STE 1040
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City | COLUMBUS
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State | OH
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Zip | 43215-4774
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Country | US
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Telephone | 614-897-0449
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 FEDERAL BLVD
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City | DENVER
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State | CO
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Zip | 80211-3212
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Country | US
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Telephone | 217-871-4243
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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 | PT021408
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0019144
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License Number State | CO
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