Organization
ADVANCED REHAB TECHNOLOGIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A HARTLEY JR. (OWNER)
(317) 333-6033
Entity
Organization
Contact information
Practice address
3936 NW URBANDALE DR, URBANDALE, IA 50322-7922
(515) 270-1522
(515) 270-4914
Mailing address
9245 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-1836
(317) 333-6033
(317) 333-6034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0281931
—
IA
01
—
33217
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
06/10/2005
Last updated
02/27/2012
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