Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Tiffany Springs, MO
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-2313
Entity
Organization
Contact information
Practice address
8928 N SKYVIEW AVE, KANSAS CITY, MO 64154
(816) 505-1658
(816) 505-1669
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
225X00000X
Occupational Therapist
—
MO
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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