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General NPI Number Information
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NPI Number | 1982418554
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Entity Type | Organization
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Legal Business Name | NEURORX PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2115 SE 192ND AVE STE 106B
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City | CAMAS
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State | WA
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Zip | 98607-7444
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Country | US
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Telephone | 360-997-1727
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Fax |
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Provider Business Mailing Address
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Address Line | 5908 NW 38TH AVE APT 232
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City | CAMAS
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State | WA
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Zip | 98607-5411
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Country | US
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Telephone | 530-718-6475
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KJERSTEN SKJOLD
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Credential | DPT
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Telephone | 530-718-6475
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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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