| Rebel Wellness, Llc | |
| 
					1000 N Truman Blvd Ste C Crystal City MO 63019-1311  | |
| (636) 638-1017 | |
| Not Available | 
| Full Name | Rebel Wellness, Llc | 
|---|---|
| Speciality | Clinic/center | 
| Location | 1000 N Truman Blvd Ste C, Crystal City, Missouri | 
| Authorized Official Name and Position | Jennifer O'donnell (MEMBER) | 
| Authorized Official Contact | 3142384101 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rebel Wellness, Llc 1000 N Truman Blvd Ste C Crystal City MO 63019-1311 Ph: () -  | Rebel Wellness, Llc 1000 N Truman Blvd Ste C Crystal City MO 63019-1311 Ph: (636) 638-1017  | 
| NPI Number | 1568157139 | 
|---|---|
| Provider Enumeration Date | 04/10/2023 | 
| Last Update Date | 04/10/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568157139 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
Compass Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 N Truman Blvd, Crystal City, MO 63019 Phone: 636-220-5397  |