Reliant Rehab Service & Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00400031000 Issued in WI

Legal business name

RELIANT REHAB SERVICE & SUPPLY, LLC

Practice address

6705A Stewart Ave
Wausau, WI 54401-9318

Phone

(715) 842-9695

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan D Burr, CPA

Title

Cfo

Phone

(715) 552-3711

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Reliant Rehab Service Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Reliant Rehab Service & Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • La Crosse, WI
  • NPI 1639349905
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1730249665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705A STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019318",
            "telephone_number": "715-842-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705A STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544019318",
            "telephone_number": "715-842-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT REHAB SERVICE & SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BURR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-552-3711",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "00400031000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41567800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Reiner
• Kim Meredith Reinhart, DO
• Kaley Rae Reinke, AU.D.
• Miranda J Reiter
• Jayne K Rekowski, CMA
• Thomas Neil Rengel, MD
• Clarissa J Renken, DO
• Kasey Catherine Rennicke, COTA/L
• Dennis Reno, CRNA
• Jana Reppond, LPN

• Durable Medical Equipment & Medical Supplies in Wausau, WI
• Providers in Wausau, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.