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NPI 1932984044

NPI 1932984044 : ALYSSA JNAI HUGGINS PT, DPT : FREDERICK, OK

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General NPI Number Information
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    NPI Number           |    1932984044
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    Entity Type          |    Individual 
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    Provider Name        |    ALYSSA JNAI HUGGINS PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2023
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    113 S 20TH ST 
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    City                 |    FREDERICK
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    State                |    OK
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    Zip                  |    73542-6201
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    Country              |    US
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    Telephone            |    580-335-4918
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2001 BUTTERFIELD RD STE 1600 
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    City                 |    DOWNERS GROVE
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    State                |    IL
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    Zip                  |    60515-1211
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    Country              |    US
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    Telephone            |    
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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       |    CP024758T
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    License Number State |    TX
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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       |    6376
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    License Number State |    OK
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