Healthcare Provider Details

I. General information

NPI: 1487712964
Provider Name (Legal Business Name): S&S REHAB PRODUCTS PLUS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 LABREE AVE N
THIEF RIVER FALLS MN
56701-2035
US

IV. Provider business mailing address

218 LABREE AVE N
THIEF RIVER FALLS MN
56701-2035
US

V. Phone/Fax

Practice location:
  • Phone: 218-681-3710
  • Fax: 218-681-3712
Mailing address:
  • Phone: 218-681-3710
  • Fax: 218-681-3712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA SWANSON
Title or Position: PRESIDENT
Credential:
Phone: 218-681-3710