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General NPI Number Information
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NPI Number | 1982946950
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Entity Type | Organization
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Legal Business Name | BALANCING ACT PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 1706 W 30TH AVE
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City | KENNEWICK
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State | WA
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Zip | 99337-2887
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Country | US
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Telephone | 509-582-0789
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 W 30TH AVE
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City | KENNEWICK
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State | WA
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Zip | 99337-2887
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Country | US
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Telephone | 509-378-6155
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Fax | 509-582-0789
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | TERRY KELLY SHULTZ
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Credential | PT
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Telephone | 509-378-6155
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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 | PT00007835
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License Number State | WA
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