Provider Demographics
NPI:1063833853
Name:INTERNATIONAL REHABILITATIVE SCIENCES INC.
Entity Type:Organization
Organization Name:INTERNATIONAL REHABILITATIVE SCIENCES INC.
Other - Org Name:RS MEDICAL - AL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP - MEDICAL AND CLINICAL AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:800-683-0353
Mailing Address - Street 1:14001 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-3513
Mailing Address - Country:US
Mailing Address - Phone:800-683-0353
Mailing Address - Fax:800-929-1930
Practice Address - Street 1:440 SAINT LUKES DR
Practice Address - Street 2:STE A
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7104
Practice Address - Country:US
Practice Address - Phone:334-450-2980
Practice Address - Fax:800-929-1930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTERNATIONAL REHABILITATIVE SCIENCES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-20
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601224105332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL9913401Medicaid
AL9913401Medicaid