Healthcare Provider Details

I. General information

NPI: 1639804982
Provider Name (Legal Business Name): REHABILITATION CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523B WEAKLEY AVE
NASHVILLE TN
37207-5327
US

IV. Provider business mailing address

523B WEAKLEY AVE
NASHVILLE TN
37207-5327
US

V. Phone/Fax

Practice location:
  • Phone: 626-532-5879
  • Fax:
Mailing address:
  • Phone: 626-532-5879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: CYRUS KAO
Title or Position: MD
Credential:
Phone: 626-532-5879