Provider Demographics
NPI:1851533160
Name:DRANEY REHABILITATION SERVICES
Entity Type:Organization
Organization Name:DRANEY REHABILITATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:DRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-683-4417
Mailing Address - Street 1:5109 STEPP AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-6053
Mailing Address - Country:US
Mailing Address - Phone:904-683-4417
Mailing Address - Fax:
Practice Address - Street 1:5109 STEPP AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-6053
Practice Address - Country:US
Practice Address - Phone:904-683-4417
Practice Address - Fax:904-683-4416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty