Organization
COMPLEX REHAB TECHNOLOGIES LLC
Active
Other names
Reliable Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
(629) 252-8211
Entity
Organization
Contact information
Practice address
8408 ANNALISE DR UNIT 155, AUSTIN, TX 78744-5452
(512) 792-9501
(512) 792-9534
Mailing address
9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1706
(763) 255-3800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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