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General NPI Number Information
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NPI Number | 1982201844
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Entity Type | Organization
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Legal Business Name | 1ST CLASSEN PHYSICAL THERAPY , PLLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 450 PARK GROVE DR
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City | KATY
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State | TX
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Zip | 77450-1571
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Country | US
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Telephone | 281-435-5732
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Fax | 281-829-4567
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Provider Business Mailing Address
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Address Line | 450 PARK GROVE DR
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City | KATY
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State | TX
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Zip | 77450-1571
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Country | US
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Telephone | 281-435-5732
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Fax | 281-829-4567
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEN CLASSEN
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Credential | DPT
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Telephone | 281-435-5732
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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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Taxonomy #2
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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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