Ivyrehab Michigan, Llc, NPI 1104337120
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fenton, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1104337120
NPI Entity Type Organization
Provider Name Ivyrehab Michigan, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 400 Rounds Dr, Fenton, MI, US
Provider Mailing Address 1311 Mamaroneck Ave Ste 140, White Plains, NY, US, 106055224
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. Michael Rucker
Official Position CEO
Phone 914-777-8700

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

2081S0010X

Taxonomy Name Sports Medicine (Physical Medicine & Rehabilitation) Physician
Classification

Physical Medicine & Rehabilitation

Group

Allopathic & Osteopathic Physicians

Description A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Business Address

Ivyrehab Michigan, Llc
400 Rounds Dr

Fenton, MI, US

Phone: 810-750-1996
Fax: 810-750-6361

Mailing Address

Ivyrehab Michigan, Llc
1311 Mamaroneck Ave Ste 140
White Plains, NY, US
ZIP 106055224
Phone: 914-294-4050

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NPI Name Taxonomy Address

1659096923

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1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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