OrganizationActive
Southern Pain and Rehabilitation Inc
NPI 1295377497 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Paducah, KY
Provider details
- NPI number
- 1295377497
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Ruxer, President(812) 639-9453
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5925 Old Hwy 60
Ste D
Paducah, KY 42001
Phone: (270) 228-0118
Approximate (ZIP-level) locationGet directions
Mailing address
5925 Old Hwy 60 West
Paducah, KY 42001-9647
Other names (DBA / former)
- Doing business as
- Elite Pain and Spine
Registry dates
- Enumerated
- 2019-10-09
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.