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General NPI Number Information
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NPI Number | 1962313643
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Entity Type | Organization
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Legal Business Name | UNIFIED PT AND YOGA LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 7930 BIG BEND BLVD STE C
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City | SAINT LOUIS
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State | MO
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Zip | 63119-2786
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Country | US
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Telephone | 636-626-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 21 WINGFIELD RD
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City | SAINT LOUIS
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State | MO
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Zip | 63122-1919
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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 | PHYSICAL THERAPIST
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Name | MRS. SAMANTHA JO SPIEGEL
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Credential | DPT
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Telephone | 314-792-9052
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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 |
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License Number State |
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