| Rebound Chiropractic And Sports Medicine, Llc | |
|
1201 Sw State St., Suite 111 Ankeny IA 50023-5002 | |
| (515) 500-6551 | |
| Not Available |
| Full Name | Rebound Chiropractic And Sports Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Sw State St., Suite 111, Ankeny, Iowa |
| Authorized Official Name and Position | Benjamin Kohler (OWNER/MEMBER) |
| Authorized Official Contact | 5155006551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebound Chiropractic And Sports Medicine, Llc 1201 Sw State St Ste 111 Ankeny IA 50023-2672 Ph: (785) 458-2527 | Rebound Chiropractic And Sports Medicine, Llc 1201 Sw State St., Suite 111 Ankeny IA 50023-5002 Ph: (515) 500-6551 |
| NPI Number | 1619512845 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 2466885496 |
|---|---|
| Medicare Enrollment ID | O20191205002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619512845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Benjamin Kohler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063077717 PECOS PAC ID: 6002249034 Enrollment ID: I20191205002449 |
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