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NPI Code Detail

MEDICARE: EMPOWERME REHABILITATION, LLC

MEDICARE: EMPOWERME REHABILITATION, LLC
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

General Provider Information

NPI Number : 1235873829
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWERME REHABILITATION, LLC
Provider Business Mailing Address
First Line : 1335 STRASSNER DR
Second Line :
City : BRENTWOOD
State : MO
Zip : 63144-1872
Country : US
Telephone Number : 844-502-7996
Fax Number :
Provider Business Practice Location Address
First Line : 5217 VILLAGE CREEK DR
Second Line :
City : PLANO
State : TX
Zip : 75093-4416
Country : US
Telephone Number : 844-502-7996
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE
Name : DAVID CHURCH
Credential :
Telephone Number : 618-972-5228
Provider Enumeration Date : 04/21/2022
Last Update Date : 12/14/2023

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Directions to “EMPOWERME REHABILITATION, LLC ” Practice Location

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