Organization
EXCEL REHABILITATION AND SPORTS
Active
Other names
Excel Rehabilitation and Sports Enhancement
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEAVER (CEO)
(616) 356-5000
Entity
Organization
Contact information
Practice address
1664 E MAIN ST, EASLEY, SC 29640-3790
(864) 654-2001
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
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
03/17/2025
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