MEDICARE: REHABILITATION CONSULTANTS

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	2251G0304X	Geriatric Physical Therapist
2	2251P0200X	Pediatric Physical Therapist
3	2251S0007X	Sports Physical Therapist
4	225X00000X	Occupational Therapist
5	225XG0600X	Gerontology Occupational Therapist	PT0161	MS
6	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1609127083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION CONSULTANTS

Provider Business Mailing Address
First Line	:	820 COOPER RD STE J
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-4099
Country	:	US
Telephone Number	:	601-906-0386
Fax Number	:	601-487-6931

Provider Business Practice Location Address
First Line	:	820 COOPER RD STE J
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39212-4099
Country	:	US
Telephone Number	:	601-906-0386
Fax Number	:	601-487-6931

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHARLES BUTCH SLAUGHTER
Credential	:	P.T.
Telephone Number	:	601-906-0386

Provider Enumeration Date	:	09/26/2012
Last Update Date	:	09/26/2012

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Directions to “REHABILITATION CONSULTANTS ” Practice Location

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