FUNCTIONAL NEURO REHAB LLC NPI 1023612066

NPI Information

NPI: 1023612066
Provider Name: FUNCTIONAL NEURO REHAB, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
650 WHITNEY RANCH DR APT 1511
HENDERSON, NV
ZIP 89014
Phone: (253) 261-8436
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FUNCTIONAL NEURO REHAB, LLC is a rehabilitation clinic center in Henderson, NV. FUNCTIONAL NEURO REHAB, LLC NPI is 1023612066. The provider is registered as an organization entity type.

The provider's business location address is:

650 WHITNEY RANCH DR APT 1511
HENDERSON, NV
ZIP 89014-615
Phone: (253) 261-8436

The provider's authorized official is Shannon Mariah Olivero-chew .
The authorized official title is Owner and has the following contact phone number (575) 479-7056.

The enumeration date for this NPI number is 11/30/2020 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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