Provider Demographics
NPI:1952964751
Name:E.L.M. REHAB
Entity Type:Organization
Organization Name:E.L.M. REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:717-455-7889
Mailing Address - Street 1:30 BREEZE WAY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-6123
Mailing Address - Country:US
Mailing Address - Phone:717-455-7889
Mailing Address - Fax:
Practice Address - Street 1:30 BREEZE WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-6123
Practice Address - Country:US
Practice Address - Phone:717-455-7889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty