Organization
EXCEL REHABILITATION AND SPORTS
Active
Other names
Excel Rehabilitation and Sports Enhancement LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEAVER PT (CEO)
(166) 356-5000
Entity
Organization
Contact information
Practice address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
(616) 356-5000
(616) 356-5001
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
225100000X
Physical Therapist
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
12/01/2006
Last updated
05/30/2025
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