Provider Demographics
NPI:1144568320
Name:REES MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:REES MEDICAL SERVICES, LLC
Other - Org Name:SPINE, SPORTS, AND REHAB CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:REES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-247-9715
Mailing Address - Street 1:1211 COOLIDGE BLVD STE 401
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2638
Mailing Address - Country:US
Mailing Address - Phone:337-269-0407
Mailing Address - Fax:
Practice Address - Street 1:1211 COOLIDGE BLVD STE 401
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2638
Practice Address - Country:US
Practice Address - Phone:337-269-0407
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-23
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0206632081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty