Provider Demographics
NPI:1508031311
Name:PEOPLEFIRST REHAB
Entity Type:Organization
Organization Name:PEOPLEFIRST REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KERSWILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-355-6917
Mailing Address - Street 1:5812 DECKER ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-3331
Mailing Address - Country:US
Mailing Address - Phone:715-355-6917
Mailing Address - Fax:
Practice Address - Street 1:5812 DECKER ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-3331
Practice Address - Country:US
Practice Address - Phone:715-355-6917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDRED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3599-024314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility