Provider Demographics
NPI:1154935286
Name:MAHER REHAB SOLUTIONS LLC
Entity type:Organization
Organization Name:MAHER REHAB SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ETTLEMAN
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:402-319-2578
Mailing Address - Street 1:1880 OFFICE CLUB PT STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-5012
Mailing Address - Country:US
Mailing Address - Phone:402-319-2578
Mailing Address - Fax:
Practice Address - Street 1:1880 OFFICE CLUB PT STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-5012
Practice Address - Country:US
Practice Address - Phone:719-471-0722
Practice Address - Fax:719-471-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-05
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty