Organization · Type 2 NPI

Advanced Sports and Rehab, LLC

Rehabilitation Clinic/Center · Malden, MO

NPI number 1700138377 Active

Practice location

1011 S Madison St
Malden, MO 63863-2462

Fax (573) 276-5084

Mailing address

1899 N Westwood Blvd, Suite C, Pmb 113
Poplar Bluff, MO 63901-2833

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

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About NPI 1700138377

Advanced Sports and Rehab, LLC's National Provider Identifier is 1700138377, issued on Oct 8, 2012. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Malden, MO. The record was last updated on Feb 27, 2013.