Provider Demographics
NPI:1407137219
Name:REHABILITATION THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:REHABILITATION THERAPY SERVICES INC.
Other - Org Name:PAIN RELIEF CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANICA
Authorized Official - Middle Name:
Authorized Official - Last Name:NICKS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:573-437-7246
Mailing Address - Street 1:107A W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:OWENSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65066-1336
Mailing Address - Country:US
Mailing Address - Phone:573-437-7246
Mailing Address - Fax:573-437-2868
Practice Address - Street 1:107A W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:OWENSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65066-1336
Practice Address - Country:US
Practice Address - Phone:573-437-7246
Practice Address - Fax:573-437-2868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO12758469225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty