Organization
MOUNTAIN REHABILITATION SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GLENN MAGUET (PHYSICAL THERAPIST)
(606) 524-4287
Entity
Organization
Contact information
Practice address
606 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 627-9905
(606) 277-0027
Mailing address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 524-4287
(606) 862-8517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002081
KY
225100000X
Physical Therapist
005497
KY
225200000X
Physical Therapy Assistant
A01560
KY
225200000X
Physical Therapy Assistant
A02336
KY
225X00000X
Occupational Therapist
134657
KY
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100458630
—
KY
05
—
7100464380
—
KY
05
—
87020814
—
KY
Enumeration date
03/27/2014
Last updated
03/19/2018
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