Organization
MOUNTAIN REHABILITATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GLEN MAGUET PT (OWNER)
(606) 524-4287
Entity
Organization
Contact information
Practice address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 524-4287
Mailing address
702 PHILLIPS LN, CORBIN, KY 40701-2144
(606) 524-4287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002081
KY
225100000X
Physical Therapist
005497
KY
225200000X
Physical Therapy Assistant
A01560
KY
225200000X
Physical Therapy Assistant
A01938
KY
225200000X
Physical Therapy Assistant
A02336
KY
Other
Enumeration date
10/20/2009
Last updated
06/14/2017
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