Provider Demographics
NPI:1114961398
Name:REHAB ASSISTANCE
Entity Type:Organization
Organization Name:REHAB ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:606-666-6464
Mailing Address - Street 1:956 NORTH US 23
Mailing Address - Street 2:
Mailing Address - City:LOWMANSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41232
Mailing Address - Country:US
Mailing Address - Phone:606-666-6464
Mailing Address - Fax:606-693-0535
Practice Address - Street 1:240 HIGHWAY 15 SOUTH
Practice Address - Street 2:
Practice Address - City:CAMPTON
Practice Address - State:KY
Practice Address - Zip Code:41301
Practice Address - Country:US
Practice Address - Phone:606-668-9553
Practice Address - Fax:606-668-9554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty