NPI 1013311257

Serc Rehabilitation Partners LLC

Organisation Physical Therapy Clinic/Center Grain Valley, MO

Practice location

Address: 103 SW Eagles Pkwy, Grain Valley, MO 64029-8512
Phone: (816) 443-2375
Fax: (816) 443-2380
Mailing address: 8823 Production Ln, Ooltewah, TN 37363-6511

Authorised official

Name: Kevin Johanneson
Title: Vp Revenue Cycle Operations
Phone: (423) 238-7217

Registered specialties

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1013311257
Entity type: Organization
NPI issued: 17 Oct 2014
Record last updated: 17 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.