Provider Demographics
NPI:1144366675
Name:PERSONALIZED REHAB LLC
Entity type:Organization
Organization Name:PERSONALIZED REHAB LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:330-548-0080
Mailing Address - Street 1:174 CURRIE HALL PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4387
Mailing Address - Country:US
Mailing Address - Phone:330-548-0080
Mailing Address - Fax:330-548-0088
Practice Address - Street 1:174 CURRIE HALL PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-4387
Practice Address - Country:US
Practice Address - Phone:330-548-0080
Practice Address - Fax:330-548-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty