Provider Demographics
NPI:1760256911
Name:REBOUND PAIN MANAGEMENT & REHABILITATION, LLC
Entity type:Organization
Organization Name:REBOUND PAIN MANAGEMENT & REHABILITATION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-244-4080
Mailing Address - Street 1:36 LAVENDER CIR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-4420
Mailing Address - Country:US
Mailing Address - Phone:214-244-4080
Mailing Address - Fax:
Practice Address - Street 1:1011 W LOOP 281 STE 3
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75604-2932
Practice Address - Country:US
Practice Address - Phone:214-244-4080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty