Provider Demographics
NPI:1437872462
Name:REHAB BARRE PLLC
Entity Type:Organization
Organization Name:REHAB BARRE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DIXHORN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:414-801-3687
Mailing Address - Street 1:4022 STONEWAY CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5615
Mailing Address - Country:US
Mailing Address - Phone:414-801-3687
Mailing Address - Fax:
Practice Address - Street 1:4022 STONEWAY CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5615
Practice Address - Country:US
Practice Address - Phone:414-801-3687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy