Provider Demographics
NPI:1164749495
Name:SALINA SPINE AND REHAB LLC
Entity Type:Organization
Organization Name:SALINA SPINE AND REHAB LLC
Other - Org Name:MCPHERSON PT & SPINE REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:EISENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-404-2848
Mailing Address - Street 1:130 MOUNT BARBARA DR
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-3444
Mailing Address - Country:US
Mailing Address - Phone:785-404-2848
Mailing Address - Fax:785-404-2949
Practice Address - Street 1:1346 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2506
Practice Address - Country:US
Practice Address - Phone:785-404-1616
Practice Address - Fax:785-404-2949
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALINA SPINE AND REHAB LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies