Basic Information
| Provider Information | |||||||||
| NPI: | 1750568572 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHAB & INDUSTRIAL SERVICES, LLC | ||||||||
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| OtherOrganizationName: | REHAB SERVICES OF NEVADA - EUREKA | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5855 BROOKE DR | ||||||||
| Address2: | |||||||||
| City: | WINNEMUCCA | ||||||||
| State: | NV | ||||||||
| PostalCode: | 894456151 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7757382925 | ||||||||
| FaxNumber: | 7756251131 | ||||||||
| Practice Location | |||||||||
| Address1: | 250 SOUTH MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | EUREKA | ||||||||
| State: | NV | ||||||||
| PostalCode: | 893160347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7752375180 | ||||||||
| FaxNumber: | 7752375180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2008 | ||||||||
| LastUpdateDate: | 08/29/2019 | ||||||||
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| AuthorizedOfficialLastName: | GRAY | ||||||||
| AuthorizedOfficialFirstName: | DEMARAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7753041162 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | NV | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.