Provider Demographics
NPI:1073015848
Name:RETURN TO PLAY INSTITUTE, LLC
Entity Type:Organization
Organization Name:RETURN TO PLAY INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:BCTMB, NREMT
Authorized Official - Phone:763-270-9330
Mailing Address - Street 1:5275 EDINA INDUSTRIAL BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2916
Mailing Address - Country:US
Mailing Address - Phone:763-270-9330
Mailing Address - Fax:763-299-8621
Practice Address - Street 1:5275 EDINA INDUSTRIAL BLVD STE 210
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2916
Practice Address - Country:US
Practice Address - Phone:763-270-9330
Practice Address - Fax:763-299-8621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation