Independence Rehab

LBN: Independence Rehab
Independence Rehab is an health care organization with primary practice located at 1430 E 4500 S , Salt Lake City UT 84117-4208. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Independence Rehab can be contacted via phone (801) 426-4905, or through Fullmer, Chad B. via phone (801) 635-6602.

Contact Information

Primary practice address
1430 E 4500 S Salt Lake City UT 84117-4208
Phone: (801) 426-4905
Fax: (801) 426-4953
Website:
Map and Directions
Authorized official contact:
Name: Fullmer, Chad B.
Phone: (801) 635-6602

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1407982630
LBN Legal business name Independence Rehab
DBA Doing business as
Authorized official Fullmer, Chad B.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 23rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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