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Organization
EXCEL REHABILITATION AND SPORTS
Active
Organization
EXCEL REHABILITATION AND SPORTS
Active
Other names
Excel Rehabilitation and Sports Enhancement
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEAVER (CEO)
(616) 356-5000
Entity
Organization
Contact information
Practice address
1664 E MAIN ST, EASLEY, SC 29640-3790
(864) 654-2001
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
NULL
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
03/17/2025
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