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NPI Code Detail

MEDICARE: MID AMERICAN SPORTS THERAPY AND REHABILITATION LLC

MEDICARE: MID AMERICAN SPORTS THERAPY AND 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
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2339234OTHEROHANTHEM BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427004837
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID AMERICAN SPORTS THERAPY AND REHABILITATION LLC
Provider Business Mailing Address
First Line : PO BOX 239
Second Line :
City : FINDLAY
State : OH
Zip : 45839-0239
Country : US
Telephone Number : 419-422-5526
Fax Number : 419-422-5562
Provider Business Practice Location Address
First Line : 1039 HASKINS RD
Second Line : SUITE L
City : BOWLING GREEN
State : OH
Zip : 43402-9065
Country : US
Telephone Number : 419-353-8000
Fax Number : 419-353-8001
Authorized Official
Title or Position : ADMINISTRATOR
Name : KEVIN REITER
Credential :
Telephone Number : 419-422-5526
Provider Enumeration Date : 05/26/2006
Last Update Date : 07/02/2008

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Directions to “MID AMERICAN SPORTS THERAPY AND REHABILITATION LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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