Healthcare Provider Details

I. General information

NPI: 1275261224
Provider Name (Legal Business Name): RALLY REHAB AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2022
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 SANTA FE DR
FALLON NV
89406-5246
US

IV. Provider business mailing address

4050 SANTA FE DR
FALLON NV
89406-5246
US

V. Phone/Fax

Practice location:
  • Phone: 847-815-3038
  • Fax: 833-548-0183
Mailing address:
  • Phone: 847-815-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DOMINIQUE FRENCH
Title or Position: OWNER / PHYSICAL THERAPIST
Credential: PT
Phone: 847-815-3038