Organization
ADVANCED SPORTS AND REHAB, LLC
Active
Other names
Semo Sports and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DENNIS KEELING M.A., CCC-SLP (ADMINISTRATOR)
(573) 718-2699
Entity
Organization
Contact information
Practice address
1011 S MADISON ST, MALDEN, MO 63863-2462
(573) 276-4999
(573) 276-5084
Mailing address
1899 N WESTWOOD BLVD, SUITE C, PMB 113, POPLAR BLUFF, MO 63901-2833
(573) 785-3966
(573) 785-3966
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
02/27/2013
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