Provider Demographics
NPI:1679766802
Name:REHABPLUS AND FITNESS
Entity Type:Organization
Organization Name:REHABPLUS AND FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LELAND
Authorized Official - Last Name:DAHL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:218-863-1981
Mailing Address - Street 1:PO BOX 415
Mailing Address - Street 2:
Mailing Address - City:PELICAN RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56572-0415
Mailing Address - Country:US
Mailing Address - Phone:218-863-1981
Mailing Address - Fax:218-863-1578
Practice Address - Street 1:46 N BROADWAY
Practice Address - Street 2:
Practice Address - City:PELICAN RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56572
Practice Address - Country:US
Practice Address - Phone:218-863-1981
Practice Address - Fax:218-863-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy