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NPI Code Detail

MEDICARE: ELKO REHABILITATION INC

MEDICARE: ELKO 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
1261QP2000XPhysical Therapy Clinic/CenterNV136NV

General Provider Information

NPI Number : 1821122326
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELKO REHABILITATION INC
Provider Business Mailing Address
First Line : 2219 N 5TH ST
Second Line : SUITE B
City : ELKO
State : NV
Zip : 89801-2458
Country : US
Telephone Number : 775-738-9600
Fax Number : 775-738-9638
Provider Business Practice Location Address
First Line : 2219 N 5TH ST
Second Line : SUITE B
City : ELKO
State : NV
Zip : 89801-2458
Country : US
Telephone Number : 775-738-9600
Fax Number : 775-738-9638
Authorized Official
Title or Position : OWNER, PHYSICAL THERAPIST
Name : MS. JESSICA CASSADY GUYER
Credential : P.T.
Telephone Number : 775-738-9600
Provider Enumeration Date : 03/15/2007
Last Update Date : 02/19/2013

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Directions to “ELKO REHABILITATION INC ” Practice Location

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