MEDICARE: RIPPEE REHAB 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
1	305R00000X	Preferred Provider Organization	CRT3018	TN
2	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)	CRT318	TN

General Provider Information

NPI Number	:	1952442063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIPPEE REHAB INC

Provider Business Mailing Address
First Line	:	5134 STAGE RD
Second Line	:	SUITE 100
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3153
Country	:	US
Telephone Number	:	901-388-4444
Fax Number	:	901-388-9399

Provider Business Practice Location Address
First Line	:	5134 STAGE RD
Second Line	:	SUITE 100
City	:	MEMPHIS
State	:	TN
Zip	:	38134-3153
Country	:	US
Telephone Number	:	901-412-4516
Fax Number	:	901-388-9399

Authorized Official
Title or Position	:	OWNER
Name	:	MS. TERESA RIPPEE
Credential	:	RRT
Telephone Number	:	901-388-4444

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	07/24/2007

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Directions to “RIPPEE REHAB INC ” Practice Location

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