# SPINE PAIN AND REHAB ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1780157172
- **Authorized official:** MOHSEN TAHANI MD (OWNER)
- **Authorized official phone:** (816) 655-5270

## Contact information

- **Practice address:** 201 NW R D MIZE RD, BLUE SPRINGS, MO 64014-2513
- **Practice address phone:** (816) 655-5270
- **Mailing address:** 4125 STATE LINE RD, KANSAS CITY, MO 64111-4423
- **Mailing address phone:** (818) 300-2998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2019
- **Last updated:** 06/19/2019