Healthcare Provider Details

I. General information

NPI: 1669599031
Provider Name (Legal Business Name): REHAB & INDUSTRIAL SERVICES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 06/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 E 2ND N
REXBURG ID
83440-1605
US

IV. Provider business mailing address

325 HANSON ST
WINNEMUCCA NV
89445-3607
US

V. Phone/Fax

Practice location:
  • Phone: 208-359-9570
  • Fax: 208-359-9580
Mailing address:
  • Phone: 775-625-2222
  • Fax: 775-625-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J SNOW
Title or Position: PARTNER
Credential: DPT
Phone: 775-625-2222