Sn Kentuckiana Rehab, LLC

NPI #1598487175 in Madison, Indiana

Provider Information

NPI Number: 1598487175
Entity Type: Organization
Organization Name: Sn Kentuckiana Rehab, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SELECT MEDICAL
Primary Specialty: Behavior Analyst
Enumeration Date: Sep 12, 2022
Last Updated: Oct 28, 2022

Practice Location

Address: 2420 WILSON AVE
City: Madison
State: Indiana
ZIP Code: 47250-2135
Phone: (812) 265-8226

Authorized Official

Name: MICHAEL TARVIN
Title: VICE PRESIDENT
Phone: (717) 972-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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