Provider Demographics
NPI:1619415833
Name:G'S THERAPY & REHABILITATION SYSTEM INC
Entity type:Organization
Organization Name:G'S THERAPY & REHABILITATION SYSTEM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GIANNYS
Authorized Official - Middle Name:
Authorized Official - Last Name:MATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-276-1959
Mailing Address - Street 1:4010 DUPONT CIR STE 569
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4888
Mailing Address - Country:US
Mailing Address - Phone:502-276-1959
Mailing Address - Fax:866-553-1734
Practice Address - Street 1:4010 DUPONT CIR STE 569
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-276-1959
Practice Address - Fax:866-553-1734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty