Organization
REAGAN REHABILITATION OUTPATIENT THERAPY, LLC
Active
Other names
Reagan Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DW REAGAN MPT (OWNER/STAFF THERAPIST)
(855) 786-8782
Entity
Organization
Contact information
Practice address
200 W COMMERCIAL ST, LEBANON, MO 65536-3146
(417) 718-0712
Mailing address
PO BOX 1736, LEBANON, MO 65536-1736
(417) 718-0712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001015007
MO
Other
Enumeration date
01/28/2014
Last updated
07/07/2025
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