# RWW OUTPATIENT REHAB SERVICES, LLC

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

## Provider details

- **NPI number:** 1356942429
- **Authorized official:** HEATHER WILSON (NATIONAL CREDENTIALING MANAGER)
- **Authorized official phone:** (502) 272-3463

## Contact information

- **Practice address:** 1950 DIAMOND PKWY STE 202, NORTH KANSAS CITY, MO 64116-4321
- **Practice address phone:** (844) 243-4998
- **Mailing address:** 805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
- **Mailing address phone:** (502) 394-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 03/28/2022