Organization · Type 2 NPI

Prorehab, PC

Physical Therapy Clinic/Center · St. Louis, MO

NPI number 1194778183 Active

Practice location

3726 S Kingshighway Blvd
St. Louis, MO 63109-1800

Call (314) 351-7172 Map

Fax (314) 351-6885

Mailing address

600 Oakmont Ln Ste 600C
Westmont, IL 60559-5548

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

6 other providers at this address

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NPI record

NPI: 1194778183
Entity type: Organization (Type 2)
Issued: May 18, 2006
Last updated: Jan 17, 2020
Status: Active

Other names

<unavail>
Athletico Physical Therapy · doing business as
Athletico Physical Therapy · doing business as

Authorized official

Juana L Granados
Credentialing Manager
(630) 575-1980

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194778183

Prorehab, PC's National Provider Identifier is 1194778183, issued on May 18, 2006. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 17, 2020.