Organization
MUSCLE & SPINE REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE ESSEX P.T. (PRESIDENT)
(269) 979-3000
Entity
Organization
Contact information
Practice address
3480 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
(269) 979-3000
(269) 979-9770
Mailing address
3480 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
(269) 979-3000
(269) 979-9770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5501004323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A35702
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
6162790001
DME
MI
Enumeration date
07/02/2009
Last updated
07/21/2009
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