Organization
SERC REHABILITATION PARTNERS LLC
Active
Other names
SERC - Douglas
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
1741 NE DOUGLAS ST, STE 202, LEES SUMMIT, MO 64086-4703
(816) 246-2672
(816) 246-2676
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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