Healthcare Provider Details

I. General information

NPI: 1144589938
Provider Name (Legal Business Name): REHAB PLUS ORTHOPEDICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2012
Last Update Date: 05/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10115 E BELL RD SUITE 101B
SCOTTSDALE AZ
85260-2189
US

IV. Provider business mailing address

PO BOX 18607
FOUNTAIN HILLS AZ
85269-8607
US

V. Phone/Fax

Practice location:
  • Phone: 480-419-3500
  • Fax:
Mailing address:
  • Phone: 480-419-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTI D KITCHEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 480-419-3500