Provider Demographics
NPI:1679830384
Name:REHAB SPECIALISTS ASSOCIATES, INC
Entity Type:Organization
Organization Name:REHAB SPECIALISTS ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SIVAKUMAR
Authorized Official - Middle Name:K
Authorized Official - Last Name:SIVARAJ
Authorized Official - Suffix:
Authorized Official - Credentials:PHYSICAL THERAPIST
Authorized Official - Phone:989-878-1761
Mailing Address - Street 1:5172 MADISON AVE
Mailing Address - Street 2:APT # A3
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-5118
Mailing Address - Country:US
Mailing Address - Phone:989-878-1761
Mailing Address - Fax:
Practice Address - Street 1:5172 MADISON AVE
Practice Address - Street 2:APT # A3
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-5118
Practice Address - Country:US
Practice Address - Phone:989-878-1761
Practice Address - Fax:517-381-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy