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Organization
EXCEL REHABILITATION AND SPORTS
Active
Organization
EXCEL REHABILITATION AND SPORTS
Active
Other names
Excel Rehabilitation and Sports Enhancement LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEAVER PT (CEO)
(166) 356-5000
Entity
Organization
Contact information
Practice address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
NULL
225000000X
Orthotic Fitter
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
12/01/2006
Last updated
05/30/2025
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