# SERC REHABILITATION PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SERC - Saint Joseph
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215355243
- **Authorized official:** KILEY RUSSELL (MGR OF PROVIDER/PAYER ENROLLMENT)
- **Authorized official phone:** (423) 238-8923

## Contact information

- **Practice address:** 3727 GENE FIELD RD, SAINT JOSEPH, MO 64506-1806
- **Practice address phone:** (816) 396-8635
- **Practice address fax:** (816) 364-3522
- **Mailing address:** 17134 BEL RAY PL, BELTON, MO 64012-5331
- **Mailing address phone:** (816) 226-4011
- **Mailing address fax:** (816) 524-6115

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 04/07/2014