Healthcare Provider Details
I. General information
NPI: 1043237936
Provider Name (Legal Business Name): FRANKLIN REHABILITATION AND SPORTS THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1580 ARMORY DR SUITE B
FRANKLIN VA
23851-2452
US
IV. Provider business mailing address
1580 ARMORY DR SUITE B
FRANKLIN VA
23851-2452
US
V. Phone/Fax
- Phone: 757-562-0990
- Fax: 757-562-0496
- Phone: 757-562-0990
- Fax: 757-562-0496
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
KEVIN
P
SCHRACK
Title or Position: PRESIDENT
Credential: PT
Phone: 757-562-0990