# PHYSICAL MEDICINE AND REHABILITATION SERVICES, INC.

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

## Provider details

- **NPI number:** 1336306448
- **Authorized official:** MS. CAROL LEE BASKIN (PRACTICE MANAGER)
- **Authorized official phone:** (816) 373-8715

## Contact information

- **Practice address:** 3445 S 291 HWY, SUITE 303, INDEPENDENCE, MO 64057-2663
- **Practice address phone:** (816) 373-8715
- **Practice address fax:** (816) 795-9388
- **Mailing address:** 3445 S 291 HWY, SUITE 303, INDEPENDENCE, MO 64057-2663
- **Mailing address phone:** (816) 373-8715
- **Mailing address fax:** (816) 795-9388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 05-27198 | KS | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 102396 | MO | Yes |
| 2084N0400X | Neurology Physician | 2008002407 | MO | — |

## Other

- **Enumeration date:** 05/18/2008
- **Last updated:** 10/19/2010