Provider Demographics
NPI:1063118685
Name:RDB PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:RDB PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:RACHAEL
Authorized Official - Middle Name:DURHAM
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:775-354-6143
Mailing Address - Street 1:1495 RIDGEVIEW DR STE 120
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-6315
Mailing Address - Country:US
Mailing Address - Phone:775-525-9002
Mailing Address - Fax:775-205-8024
Practice Address - Street 1:1495 RIDGEVIEW DR STE 120
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-6315
Practice Address - Country:US
Practice Address - Phone:775-525-9002
Practice Address - Fax:775-205-8024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy