MEDICARE: KEY REHABILITATION, 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	1041C0700X	Clinical Social Worker
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1295436970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY REHABILITATION, INC

Provider Business Mailing Address
First Line	:	1335 NW BROAD ST
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-4428
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 RIVERSIDE AVE NE
Second Line	:
City	:	MCINTOSH
State	:	MN
Zip	:	56556-5750
Country	:	US
Telephone Number	:	615-896-6400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JANET IRWIN
Credential	:
Telephone Number	:	615-896-6400

Provider Enumeration Date	:	03/10/2023
Last Update Date	:	03/10/2023

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Directions to “KEY REHABILITATION, INC ” Practice Location

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