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General NPI Number Information
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NPI Number | 1982498127
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Entity Type | Organization
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Legal Business Name | TKO PHYSICAL THERAPY & FITNESS
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 118 W 4TH ST
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City | LEBO
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State | KS
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Zip | 66856-9437
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Country | US
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Telephone | 620-794-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 6288 W 301ST ST
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City | OSAGE CITY
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State | KS
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Zip | 66523-9064
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Country | US
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Telephone | 620-794-1611
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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 | TERESA SUE KIRBY
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Credential | PT, DPT
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Telephone | 620-794-1611
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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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