Healthcare Provider Details

I. General information

NPI: 1497572010
Provider Name (Legal Business Name): SELECT REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/24/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WEST HIGHWAY 6
WACO TX
76712
US

IV. Provider business mailing address

300 WEST HIGHWAY 6
WACO TX
76712
US

V. Phone/Fax

Practice location:
  • Phone: 254-761-8500
  • Fax:
Mailing address:
  • Phone: 254-761-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER J REEVES
Title or Position: PHYSICAL THERAPIST ASSISTANT
Credential:
Phone: 318-990-9481