Organization
PROREHAB LOUISVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENCE BENZ (CEO/OWNER)
(502) 762-1243
Entity
Organization
Contact information
Practice address
6610 BARDSTOWN RD, LOUISVILLE, KY 40291-3045
(502) 762-1243
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 476-0409
(812) 476-1016
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K193730
MEDICARE
KY
Enumeration date
11/06/2014
Last updated
08/01/2022
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