Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Mission
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
6640 JOHNSON DR, MISSION, KS 66202-2617
(913) 384-5810
(913) 384-0719
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
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA2868
GROUP MEDICARE PTAN
KS
Enumeration date
01/17/2014
Last updated
07/21/2022
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