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NPI Code Detail

MEDICARE: COMPREHENSIVE REHABILITATION OF LAFAYETTE INC

MEDICARE: COMPREHENSIVE REHABILITATION OF LAFAYETTE 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
1261QR0400XRehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137567OTHERTNBCBS OF TN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083611313
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE REHABILITATION OF LAFAYETTE INC
Provider Business Mailing Address
First Line : PO BOX 629
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-0629
Country : US
Telephone Number : 615-666-5095
Fax Number : 615-666-2254
Provider Business Practice Location Address
First Line : 505 ELLINGTON DR STE A
Second Line :
City : LAFAYETTE
State : TN
Zip : 37083-1074
Country : US
Telephone Number : 615-666-5095
Fax Number : 615-802-6194
Authorized Official
Title or Position : PRESIDENT
Name : BUFFY S ROARK
Credential : PT
Telephone Number : 615-666-5095
Provider Enumeration Date : 07/01/2005
Last Update Date : 05/10/2022

Similar Medicare Providers

1760971121 — TONYA D CREASY PHYSICAL THERAPIST
Practice Location Address:
505 ELLINGTON DR STE A
LAFAYETTE, TN
37083-1074
Practice Phone: 615-666-5095
Practice Fax: 615-666-2254
1255215240 — JESSICA LANCASTER PTA
Practice Location Address:
505 ELLINGTON DR STE A
LAFAYETTE, TN
37083-1074
Practice Phone: 615-666-5895
Practice Fax:
1013866219 — DERRICK WITMER D.C.
Practice Location Address:
501 HIGHWAY 52 BYP W
LAFAYETTE, TN
37083-2636
Practice Phone: 615-622-7942
Practice Fax:
1083007314 — MS. ESTHER ONO-EMMANUEL FNP-C
Practice Location Address:
209 COLLEGE ST
LAFAYETTE, TN
37083
Practice Phone: 615-666-2056
Practice Fax: 615-666-3022
1225558257 — LAUREN WHITE-MAY
Practice Location Address:
301 HIGHWAY 52 BYP W LOT 17
LAFAYETTE, TN
37083-1798
Practice Phone: 615-670-9402
Practice Fax:
1033200852 — MACON COUNTY GENERAL HOSPITAL, INC.
Practice Location Address:
305 W LOCUST ST
LAFAYETTE, TN
37083-1712
Practice Phone: 615-666-7927
Practice Fax: 615-666-7052

Directions to “COMPREHENSIVE REHABILITATION OF LAFAYETTE INC ” Practice Location

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