First Street Rehab Inc
First Street Rehab Inc is a health care provider in St John, KS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 607 E 1st Ave, St John, KS 67576-2223, US |
|Practice Location Phone||620-549-3757|
|Practice Location Fax|
|Legal Business Name||FIRST STREET REHAB INC|
|Enumeration Date ? ||Nov 9, 2005|
|Last Update Date ? ||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of First Street Rehab Inc
|Specialty||Provider Type||Specialization||License||License State|
|Physical Therapy Assistant||Respiratory, Developmental, Rehabilitative and Restorative Service Providers|| ||14-00777||Kansas|
Legacy Provider IDs of First Street Rehab Inc
|Provider Id||Issuer State||Issuer Type||Issuer|
|115681||Kansas||Medicare Id-type Unspecified||PROVIDER NUMBER|
Authorized Official of First Street Rehab Inc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the First Street Rehab Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Dwight Neil Huston (PTA)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||620-549-3757|