Provider Demographics
NPI:1861532715
Name:REHAB SOLUTIONS PLLC
Entity type:Organization
Organization Name:REHAB SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:662-840-2888
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38802-0004
Mailing Address - Country:US
Mailing Address - Phone:662-840-2888
Mailing Address - Fax:662-840-4245
Practice Address - Street 1:1893 S EASON BLVD
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-5953
Practice Address - Country:US
Practice Address - Phone:662-840-2888
Practice Address - Fax:662-840-4245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS=========OtherEIN
MSC02439Medicare ID - Type Unspecified