| Integral Rehabilitation, LLC | |
|
6771 S 900 E Midvale UT 84047-1436 | |
| (801) 696-5257 | |
| (801) 683-1589 |
| Full Name | Integral Rehabilitation, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 6771 S 900 E, Midvale, Utah |
| Authorized Official Name and Position | Hallie J Robbins (CEO) |
| Authorized Official Contact | 8016965257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Rehabilitation, LLC 49 E 96th St New York NY 10128-0782 Ph: (801) 696-5257 | Integral Rehabilitation, LLC 6771 S 900 E Midvale UT 84047-1436 Ph: (801) 696-5257 |
| NPI Number | 1306176748 |
|---|---|
| Provider Enumeration Date | 01/07/2010 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306176748 | NPI | - | NPPES |
| 612080200 | Other | ACS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | () | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Secondary |
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