Provider Demographics
NPI:1497064810
Name:THE MAHER REHABILITATION INSTITUTE LLC
Entity Type:Organization
Organization Name:THE MAHER REHABILITATION INSTITUTE LLC
Other - Org Name:MAHER SPORTS AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:770-917-1279
Mailing Address - Street 1:5010 KENDALL STATION
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-7964
Mailing Address - Country:US
Mailing Address - Phone:770-917-1279
Mailing Address - Fax:
Practice Address - Street 1:155 SUNSET DRIVE
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533
Practice Address - Country:US
Practice Address - Phone:706-864-1480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty