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General NPI Number Information
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NPI Number | 1548387897
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Entity Type | Organization
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Legal Business Name | MK REHABILITATION, LLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 385 W CENTRAL ST
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City | FRANKLIN
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State | MA
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Zip | 02038-1833
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Country | US
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Telephone | 508-528-0147
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Fax | 508-528-6470
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Provider Business Mailing Address
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Address Line | 385 W CENTRAL ST
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City | FRANKLIN
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State | MA
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Zip | 02038-1833
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Country | US
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Telephone | 508-528-0147
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Fax | 508-528-6470
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW JOHN TIBERT
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Credential | PT, DPT, CSCS
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Telephone | 508-528-0147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 15545
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License Number State | MA
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