# COMPLEX REHAB TECHNOLOGIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reliable Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346117512
- **Authorized official:** KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
- **Authorized official phone:** (629) 252-8211

## Contact information

- **Practice address:** 8408 ANNALISE DR UNIT 155, AUSTIN, TX 78744-5452
- **Practice address phone:** (512) 792-9501
- **Practice address fax:** (512) 792-9534
- **Mailing address:** 9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1706
- **Mailing address phone:** (763) 255-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 10/21/2025
- **Last updated:** 10/21/2025