Keith Rebstock
Physical Therapy Assistant
1110 Carroll Rd
Paragould
, Arkansas 72450-6007
Keith Rebstock
Physical Therapy Assistant
1110 Carroll Rd
Paragould
, Arkansas 72450-6007
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Keith Rebstock
- Po Box 1545
- Paragould, AR
- Zip : 72451-1545
- Phone :
Second Address
- Keith Rebstock
- 1110 Carroll Rd
- Paragould, AR
- Zip : 72450-6007
- Phone : (870) 897-2372
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA4230 | AR |
National Provider Identifier
| NPI | 1013428473 |
|---|---|
| Provider Name | Keith Rebstock |
| First Address | Paragould, AR 72451-1545 |
| Second Address | Paragould, AR 72450-6007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2017 |
| Last Update Date | 12/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.