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NPI Code Detail

MEDICARE: RESSLER REHABILITATION LLC

MEDICARE: RESSLER 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
1332B00000XDurable Medical Equipment & Medical Supplies5774970001TX
2261QP2000XPhysical Therapy Clinic/Center651060000TX

Other Identifiers

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

General Provider Information

NPI Number : 1649473869
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESSLER REHABILITATION LLC
Provider Business Mailing Address
First Line : 4635 NE STALLINGS DR STE 101
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-1667
Country : US
Telephone Number : 936-622-0098
Fax Number : 888-552-2070
Provider Business Practice Location Address
First Line : 4635 NE STALLINGS DR STE 101
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75965-1667
Country : US
Telephone Number : 936-622-0098
Fax Number : 888-552-2070
Authorized Official
Title or Position : CEO
Name : MR. ROBERT RYAN RESSLER
Credential : MPT, LAT, ATC, CSCS
Telephone Number : 936-556-1510
Provider Enumeration Date : 06/06/2007
Last Update Date : 01/04/2018

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Directions to “RESSLER REHABILITATION LLC ” Practice Location

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