Provider Demographics
NPI:1225506942
Name:LEXINGTON REHABILITATION CENTER
Entity Type:Organization
Organization Name:LEXINGTON REHABILITATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPHIR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:651-224-1921
Mailing Address - Street 1:506 LEXINGTON PKWY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-4644
Mailing Address - Country:US
Mailing Address - Phone:651-224-1921
Mailing Address - Fax:
Practice Address - Street 1:506 LEXINGTON PKWY N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4644
Practice Address - Country:US
Practice Address - Phone:651-224-1921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy