# MACON REHABILITATION SERVICES, LLC

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

## Provider details

- **NPI number:** 1306197918
- **Authorized official:** DEREK BOND (OWNER/MANAGER)
- **Authorized official phone:** (660) 385-6244

## Contact information

- **Practice address:** 106 BUTLER ST, SUITE C, MACON, MO 63552-1629
- **Practice address phone:** (660) 385-6244
- **Practice address fax:** (660) 385-4821
- **Mailing address:** 106 BUTLER ST, SUITE C, MACON, MO 63552-1629
- **Mailing address phone:** (660) 385-6244
- **Mailing address fax:** (660) 385-4821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 20010108647 | MO | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 09/21/2012