MEDICARE: ALLIED REHABILITATION SERVICES

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	252Y00000X	Early Intervention Provider Agency	KY1726	KY

General Provider Information

NPI Number	:	1073784120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED REHABILITATION SERVICES

Provider Business Mailing Address
First Line	:	114 N 3RD ST
Second Line	:	SUITE 2
City	:	RICHMOND
State	:	KY
Zip	:	40475-1499
Country	:	US
Telephone Number	:	859-624-1146
Fax Number	:	859-624-1149

Provider Business Practice Location Address
First Line	:	114 N 3RD ST
Second Line	:	SUITE 2
City	:	RICHMOND
State	:	KY
Zip	:	40475-1499
Country	:	US
Telephone Number	:	859-624-1146
Fax Number	:	859-624-1149

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BYRON SCOTT JOHNSTON
Credential	:	SLP
Telephone Number	:	859-624-1146

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	03/17/2008

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Directions to “ALLIED REHABILITATION SERVICES ” Practice Location

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