Organization
RESSLER REHABILITATION LLC
Active
Organization
RESSLER REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RYAN RESSLER MPT, LAT, ATC, CSCS (CEO)
(936) 556-1510
Entity
Organization
Contact information
Practice address
4635 NE STALLINGS DR STE 101, NACOGDOCHES, TX 75965-1667
(936) 622-0098
(888) 552-2070
Mailing address
4635 NE STALLINGS DR STE 101, NACOGDOCHES, TX 75965-1667
(936) 622-0098
(888) 552-2070
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
651060000
TX
332B00000X
Durable Medical Equipment & Medical Supplies
5774970001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169550402
—
TX
Enumeration date
06/06/2007
Last updated
01/04/2018
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