Organization
CERTIFIED REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CASEY J BRADSHAW (OWNER)
(970) 482-7116
Entity
Organization
Contact information
Practice address
2415 E MULBERRY ST APT 7, FORT COLLINS, CO 80524-3752
(970) 482-7116
(970) 498-9529
Mailing address
2415 E MULBERRY ST APT 7, FORT COLLINS, CO 80524-3752
(970) 482-7116
(970) 498-9529
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
03404280000
CO
332BC3200X
Customized Equipment (DME)
0340428000
CO
335E00000X
Prosthetic/Orthotic Supplier
Primary
03404280000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08012742
—
CO
05
—
107744900
—
WY
Enumeration date
07/07/2006
Last updated
04/08/2025
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