# LEGACY THERAPY AND REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023743614
- **Authorized official:** MORGAN ERNY OTR (SIGNER FOR GROUP)
- **Authorized official phone:** (812) 473-0181

## Contact information

- **Practice address:** 1850 W STATE ROAD 56, JASPER, IN 47546-7010
- **Practice address phone:** (812) 556-3196
- **Mailing address:** PO BOX 3276, EVANSVILLE, IN 47731-3276
- **Mailing address phone:** (812) 473-0181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 06/26/2023
