Southport Rehab Associates, Inc in Kenosha - Rehabilitation
Southport Rehab Associates, Inc - NPI 1114929064
Southport Rehab Associates, Inc is a Rehabilitation in Kenosha, Wisconsin. Southport Rehab Associates, Inc practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Southport Rehab Associates, Inc is 1114929064. The last update date is 2008-04-10.
Southport Rehab Associates, Inc's current location address is 7201 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2626943977 and fax number 2626945648. The mailing address for Southport Rehab Associates, Inc is 7201 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southport Rehab Associates, Inc |
|---|---|
| Address | 7201 Green Bay Rd, Kenosha, Wisconsin |
| Phone Number | 2626943977 |
| Fax Number | 2626945648 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Letsom H William |
| Credentials | P.T. |
| Telephone Number | 2626943977 |
NPI Number Detail
| NPI Number | 1114929064 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2008-04-10 |
Provider Mailing Address Detail
| Address | 7201 Green Bay Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531423522 |
| Phone Number | 2626943977 |
| Fax Number | 2626945648 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 261Qr0400X |
|
Definition: Helps patients regain function after illness, injury or surgery through therapeutic interventions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41695100 | WI | -- | |
| 41811000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southport Rehab Associates, Inc by the Centers for Medicare & Medicaid Services?
The Southport Rehab Associates, Inc has been issued the NPI (National Provider Identifier) 1114929064. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Southport Rehab Associates, Inc?
The Southport Rehab Associates, Inc is physically situated at 7201 Green Bay Rd, in the city of Kenosha, state of WI, with the postal code 531423522.
What is Southport Rehab Associates, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southport Rehab Associates, Inc is Rehabilitation, and the taxonomy code that classifies this field of practice is 261Qr0400X.
When was the Southport Rehab Associates, Inc's 1114929064 issued?
The Southport Rehab Associates, Inc's 1114929064 was issued on 2005-08-11.
When was the information related to Southport Rehab Associates, Inc most recently updated or refreshed?
The details pertaining to the Southport Rehab Associates, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-10.