MEDICARE: REHAB AND SPORTS MEDICINE OF THE SHOALS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1003809955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB AND SPORTS MEDICINE OF THE SHOALS, INC

Provider Business Mailing Address
First Line	:	1751 VETERANS DR STE 300
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-4930
Country	:	US
Telephone Number	:	256-718-3200
Fax Number	:	256-764-9343

Provider Business Practice Location Address
First Line	:	1751 VETERANS DR STE 300
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-4930
Country	:	US
Telephone Number	:	256-718-3200
Fax Number	:	256-764-9343

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN A YOUNG
Credential	:	MD
Telephone Number	:	256-764-9304

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	12/31/2024

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