Healthcare Provider Details

I. General information

NPI: 1194981266
Provider Name (Legal Business Name): SALINA SPINE AND REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 S OHIO ST SUITE B1
SALINA KS
67401-6791
US

IV. Provider business mailing address

1945 S OHIO ST SUITE B1
SALINA KS
67401-6791
US

V. Phone/Fax

Practice location:
  • Phone: 785-404-1616
  • Fax: 785-404-1343
Mailing address:
  • Phone: 785-404-1616
  • Fax: 785-404-1343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRY A EISENHAUER
Title or Position: ADMINISTRATOR
Credential: D.C.
Phone: 785-404-1616