Provider Demographics
NPI:1942932504
Name:NEUROMUSCULAR MOBILE REHABILITATION, PLLC
Entity Type:Organization
Organization Name:NEUROMUSCULAR MOBILE REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STORB
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CSRS
Authorized Official - Phone:267-463-3461
Mailing Address - Street 1:607 E BLANCO RD
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-4001
Mailing Address - Country:US
Mailing Address - Phone:267-463-3461
Mailing Address - Fax:
Practice Address - Street 1:27439 RIO CIR
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78015-5087
Practice Address - Country:US
Practice Address - Phone:267-463-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty