Provider Demographics
NPI:1982261970
Name:JOINT RECOVERY SERVICES LLC
Entity Type:Organization
Organization Name:JOINT RECOVERY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RICHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOHLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-705-5008
Mailing Address - Street 1:1918 E FRONT ST STE A
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75702-8511
Mailing Address - Country:US
Mailing Address - Phone:903-705-5008
Mailing Address - Fax:
Practice Address - Street 1:1918 E FRONT ST STE A
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-8511
Practice Address - Country:US
Practice Address - Phone:903-705-5008
Practice Address - Fax:903-609-1619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No273Y00000XHospital UnitsRehabilitation Unit