Re Active Training & Rehab LLC
NPI #1023788767 in Saint Charles, Missouri
Provider Information
- NPI Number
- 1023788767
- Entity Type
- Organization
- Organization Name
- Re Active Training & Rehab LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Oct 5, 2021
Practice Location
- Address
- 1401 GETTYSBURG LNDG
- City
- Saint Charles
- State
- Missouri
- ZIP Code
- 63303-6104
- Phone
- (636) 443-9910
Authorized Official
- Name
- DR. KELLY LYNN BRAY, DPT
- Title
- ADMINISTRATOR
- Phone
- (636) 443-9910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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