# WESTSIDE REHAB, INC

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

## Provider details

- **NPI number:** 1689768855
- **Authorized official:** MRS. TENESSA JEAN REHMER (PRACTICE MANAGER/VP/SECRETARY)
- **Authorized official phone:** (573) 374-7579

## Contact information

- **Practice address:** 126 S. MAIN, LAURIE, MO 65038-1099
- **Practice address phone:** (573) 374-7579
- **Practice address fax:** (573) 374-1399
- **Mailing address:** P.O. BOX 1099, LAURIE, MO 65038-1099
- **Mailing address phone:** (573) 374-7579
- **Mailing address fax:** (573) 374-1399

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 10/28/2011