# TACTICAL REHABILITATION INC

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

## Provider details

- **NPI number:** 1194201327
- **Authorized official:** KAREN C LYONS (CFO)
- **Authorized official phone:** (423) 262-9720

## Contact information

- **Practice address:** 1911 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78208-1419
- **Practice address phone:** (910) 210-0790
- **Practice address fax:** (910) 210-0791
- **Mailing address:** PO BOX 1306, JACKSONVILLE, NC 28541-1306
- **Mailing address phone:** (423) 262-9720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225000000X | Orthotic Fitter | — | NULL | — |
| 225000000X | Orthotic Fitter | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2018
- **Last updated:** 03/15/2026