Provider Demographics
NPI:1194981266
Name:SALINA SPINE AND REHAB, LLC
Entity type:Organization
Organization Name:SALINA SPINE AND REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:EISENHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:785-404-1616
Mailing Address - Street 1:1945 S OHIO ST
Mailing Address - Street 2:SUITE B1
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6791
Mailing Address - Country:US
Mailing Address - Phone:785-404-1616
Mailing Address - Fax:785-404-1343
Practice Address - Street 1:1945 S OHIO ST
Practice Address - Street 2:SUITE B1
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6791
Practice Address - Country:US
Practice Address - Phone:785-404-1616
Practice Address - Fax:785-404-1343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-29
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17-6572Medicare UPIN
KS6158600001Medicare NSC