Provider Demographics
NPI:1235669011
Name:RAPID REBOOT RECOVERY PRODUCTS LLC
Entity Type:Organization
Organization Name:RAPID REBOOT RECOVERY PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF MARKETING AND COMMUNICATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-845-9691
Mailing Address - Street 1:1262 W 3150 N
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-8806
Mailing Address - Country:US
Mailing Address - Phone:801-899-7511
Mailing Address - Fax:
Practice Address - Street 1:1262 W 3150 N
Practice Address - Street 2:
Practice Address - City:PLEASANT GROVE
Practice Address - State:UT
Practice Address - Zip Code:84062
Practice Address - Country:US
Practice Address - Phone:801-899-7511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies