Healthcare Provider Details

I. General information

NPI: 1750568572
Provider Name (Legal Business Name): REHAB & INDUSTRIAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 08/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SOUTH MAIN STREET
EUREKA NV
89316-0347
US

IV. Provider business mailing address

5855 BROOKE DR
WINNEMUCCA NV
89445-6151
US

V. Phone/Fax

Practice location:
  • Phone: 775-237-5180
  • Fax: 775-237-5180
Mailing address:
  • Phone: 775-738-2925
  • Fax: 775-625-1131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNV

VIII. Authorized Official

Name: DEMARAH GRAY
Title or Position: PARTNER
Credential: DPT
Phone: 775-304-1162