Provider Demographics
NPI:1922334978
Name:RIPP REHAB, INC.
Entity Type:Organization
Organization Name:RIPP REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RIPP
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CVE, CRC
Authorized Official - Phone:602-285-0676
Mailing Address - Street 1:4645 S LAKESHORE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7151
Mailing Address - Country:US
Mailing Address - Phone:480-730-0706
Mailing Address - Fax:480-838-1144
Practice Address - Street 1:4645 S LAKESHORE DR
Practice Address - Street 2:SUITE 5
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7151
Practice Address - Country:US
Practice Address - Phone:480-730-0706
Practice Address - Fax:480-838-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty