Provider Demographics
NPI:1023426574
Name:CREATIVE REHAB STRATEGIES LLC
Entity type:Organization
Organization Name:CREATIVE REHAB STRATEGIES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-504-0217
Mailing Address - Street 1:1040 E 86TH ST
Mailing Address - Street 2:SUITE 48-A
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1865
Mailing Address - Country:US
Mailing Address - Phone:317-569-1800
Mailing Address - Fax:
Practice Address - Street 1:1040 E 86TH ST
Practice Address - Street 2:SUITE 48-A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1865
Practice Address - Country:US
Practice Address - Phone:317-569-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center