First Street Rehab INC

NPI #1609857366 in St John, Kansas

Provider Information

NPI Number: 1609857366
Entity Type: Organization
Organization Name: First Street Rehab INC
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 9, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 607 E 1ST AVE
City: St John
State: Kansas
ZIP Code: 67576-2223
Phone: (620) 549-3757

Authorized Official

Name: MR. DWIGHT NEIL HUSTON, PTA
Title: PRESIDENT
Phone: (620) 549-3757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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