Provider Demographics
NPI:1881912285
Name:KEY REHABILITATION
Entity type:Organization
Organization Name:KEY REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED PHYSICAL THERAPIST ASST.
Authorized Official - Prefix:
Authorized Official - First Name:LACEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BOZARTH
Authorized Official - Suffix:
Authorized Official - Credentials:CPTA
Authorized Official - Phone:785-817-0062
Mailing Address - Street 1:3339 SW NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4640
Mailing Address - Country:US
Mailing Address - Phone:785-817-0062
Mailing Address - Fax:
Practice Address - Street 1:3339 SW NOTTINGHAM RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4640
Practice Address - Country:US
Practice Address - Phone:785-817-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS14-01920310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility