Healthcare Provider Details
I. General information
NPI: 1336234152
Provider Name (Legal Business Name): HIGH POINTE REHAB SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8211 BELL OAKS DR SUITE B
NEWBURGH IN
47630-2532
US
IV. Provider business mailing address
PO BOX 717
EVANSVILLE IN
47705-0717
US
V. Phone/Fax
- Phone: 812-858-8903
- Fax: 812-471-6650
- Phone: 812-471-1591
- Fax: 812-471-6650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 53000051A |
| License Number State | IN |
VIII. Authorized Official
Name:
KIMBERLY
S
SNYDER
Title or Position: OWNER
Credential: PT
Phone: 812-858-8903