Pioneer Rehab LLC
Organization Active NPI Rehabilitation Practitioner · Eddyville, KY
NPI 1487921383 · NPPES record last updated Nov 19, 2011
Key facts
- NPI
- 1487921383
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Legal business name
- PIONEER REHAB LLC
- Practice address
- 403 W Fairview Ave
Eddyville, KY 42038-8259 - Phone
- (270) 608-1829
- Fax
- (270) 388-5452
- NPI assigned
- Nov 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carrie L McPherson, M.S., CCC-SLP
- Title
- Owner
- Phone
- (270) 608-1829
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner |
225400000X | Yes |
Addresses
Primary practice location
403 W Fairview Ave
Eddyville, KY 42038-8259
Mailing address
403 W Fairview Ave
Eddyville, KY 42038-8259
Phone (270) 608-1829
Other providers in Eddyville, KY
- Orr Medical, LLC
- Pennyrile District Health Department
- Pennyrile District Health Department
- Pennyrile District Health Department
- Pennyrile District Health Department
- Melora Jean Potter
- Kent Lewis Schoonover
- Roy D Sellers
- John Joseph Sims
- Lindsey Smith
All providers in Eddyville, KY · Rehabilitation Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.