Provider Demographics
NPI:1124176466
Name:ASAP REHABILITATION, INC.
Entity type:Organization
Organization Name:ASAP REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KENYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-943-5214
Mailing Address - Street 1:50 E SAMPLE RD
Mailing Address - Street 2:# 201
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-3552
Mailing Address - Country:US
Mailing Address - Phone:954-943-5214
Mailing Address - Fax:
Practice Address - Street 1:50 E SAMPLE RD
Practice Address - Street 2:# 201
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-3552
Practice Address - Country:US
Practice Address - Phone:954-943-5214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty