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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 : 1548954746
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 : 877-367-9772
Fax Number :
Provider Business Practice Location Address
First Line : 3200 E GLENROSA AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3911
Country : US
Telephone Number : 877-367-9772
Fax Number :
Authorized Official
Title or Position : VP OF CLINICAL STRATEGY
Name : DAVID CHURCH
Credential :
Telephone Number : 618-972-5228
Provider Enumeration Date : 06/08/2023
Last Update Date : 10/02/2024

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Directions to “EMPOWERME REHABILITATION, LLC ” Practice Location

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