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General NPI Number Information
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NPI Number | 1922816602
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Entity Type | Organization
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Legal Business Name | FORTIS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1020 AVONDALE RD
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-9669
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Country | US
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Telephone | 615-200-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 ISAAC FRANKLIN DR
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City | GALLATIN
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State | TN
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Zip | 37066-7421
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Country | US
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Telephone | 256-424-5063
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KAITLYNN DUNBAR
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Credential | DPT
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Telephone | 615-200-7207
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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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