Provider Demographics
NPI:1326160706
Name:SUPERIOR REHAB TECH., INC.
Entity Type:Organization
Organization Name:SUPERIOR REHAB TECH., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-980-9163
Mailing Address - Street 1:20770 HWY 281 NORTH
Mailing Address - Street 2:108
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7500
Mailing Address - Country:US
Mailing Address - Phone:830-980-9163
Mailing Address - Fax:
Practice Address - Street 1:23860 HWY 281
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:830-980-9163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies