RECOVERY TREK LLC NPI 1992319735

NPI Information

NPI: 1992319735
Provider Name: RECOVERY TREK, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

CLIA Number: 49D2237430

Address:
440 MONTICELLO AVE STE 100
NORFOLK, VA
ZIP 23510
Phone: (757) 754-5475
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RECOVERY TREK, LLC is a customized equipment durable medical equipment medical supplies in Norfolk, VA. RECOVERY TREK, LLC NPI is 1992319735. The provider is registered as an organization entity type.

The provider's business location address is:

440 MONTICELLO AVE STE 100
NORFOLK, VA
ZIP 23510-671
Phone: (757) 754-5475

The provider's authorized official is Kirk Cizerle .
The authorized official title is Ceo and has the following contact phone number (757) 754-5475.

The CLIA number assigned to this NPI record is 49D2237430 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 8/31/2020.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			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: 4/28/2024

NPI Synchronization or Removal

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