# RE ACTIVE TRAINING & REHAB LLC

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

## Provider details

- **NPI number:** 1023788767
- **Authorized official:** DR. KELLY LYNN BRAY DPT (ADMINISTRATOR)
- **Authorized official phone:** (636) 443-9910

## Contact information

- **Practice address:** 1401 GETTYSBURG LNDG, SAINT CHARLES, MO 63303-6104
- **Practice address phone:** (636) 443-9910
- **Practice address fax:** (636) 200-3601
- **Mailing address:** 1401 GETTYSBURG LNDG, SAINT CHARLES, MO 63303-6178
- **Mailing address phone:** (636) 443-9910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2021
- **Last updated:** 06/12/2026