Provider Demographics
NPI:1336921162
Name:RESILIENT TRAINING & REHAB
Entity Type:Organization
Organization Name:RESILIENT TRAINING & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WEILANDICH
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CMPT
Authorized Official - Phone:224-330-8347
Mailing Address - Street 1:2718 RED CEDAR PARC DR S
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6607
Mailing Address - Country:US
Mailing Address - Phone:224-330-8347
Mailing Address - Fax:
Practice Address - Street 1:1082 CROSSWINDS CT
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-4836
Practice Address - Country:US
Practice Address - Phone:224-330-8347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy