Organization Name: | MID AMERICA SPINE & REHAB LLC |
NPI Number: | 1770647869 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BRUCE EINERTSON (ADMINISTRATOR OWNER) |
Mailing Address: | 1076 Old Des Peres Rd Des Peres |
State: | MO US |
Postal Code: | 631311865 |
Phone Number: | 3149668989 |
Fax Number: | 3149660001 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 10/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 01530 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |