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Organization
LEGACY THERAPY AND REHABILITATION LLC
Active
Organization
LEGACY THERAPY AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN ERNY OTR (SIGNER FOR GROUP)
(812) 473-0181
Entity
Organization
Contact information
Practice address
1850 W STATE ROAD 56, JASPER, IN 47546-7010
(812) 556-3196
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/19/2022
Last updated
06/26/2023
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