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General NPI Number Information
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NPI Number | 1992986194
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Entity Type | Organization
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Legal Business Name | BODY WHISPERS THERAPY LLC
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Dates
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Enumeration Date | 11/16/2007
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 3220 RICE ST
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City | SAINT PAUL
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State | MN
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Zip | 55126-3047
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Country | US
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Telephone | 612-730-8272
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Fax | 866-409-6687
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Provider Business Mailing Address
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Address Line | 1768 OAKWOOD DR
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City | SHOREVIEW
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State | MN
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Zip | 55126-4939
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Country | US
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Telephone | 612-730-8272
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTEEN GROTH
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Credential | OTR
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Telephone | 612-730-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 100848
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License Number State | MN
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