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General NPI Number Information
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NPI Number | 1942624341
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Entity Type | Organization
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Legal Business Name | TENNESSEE THERAPY & BALANCE CENTER, LLC
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 675C SOUTH JEFFERSON AVENUE
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City | COOKEVILLE
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State | TN
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Zip | 38501-0949
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Country | US
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Telephone | 931-528-8822
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Fax | 931-528-8825
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Provider Business Mailing Address
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Address Line | 675C SOUTH JEFFERSON AVENUE
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City | COOKEVILLE
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State | TN
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Zip | 38501-0949
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Country | US
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Telephone | 931-528-8822
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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 | DR. KAREN LEIGH HANSEN
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Credential | PT, DPT
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Telephone | 931-528-8822
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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 | 7857
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License Number State | TN
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