Provider Demographics
NPI:1417090929
Name:ACTION REHAB, INC.
Entity Type:Organization
Organization Name:ACTION REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:KUERZI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:706-594-6713
Mailing Address - Street 1:300 W BROOME ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-3177
Mailing Address - Country:US
Mailing Address - Phone:706-884-3111
Mailing Address - Fax:706-882-7320
Practice Address - Street 1:300 W BROOME ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-3177
Practice Address - Country:US
Practice Address - Phone:706-884-3111
Practice Address - Fax:706-882-7320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004923225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty