OrganizationActive
Elite Rehab Holtville LLC
NPI 1649913120 · Physical Therapy Clinic/Center · Deatsville, AL
Provider details
- NPI number
- 1649913120
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Van Etten, Administrator(334) 799-5853
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
213 Lightwood Rd Ste 2
Deatsville, AL 36022
Phone: (334) 543-4269
Fax: (334) 543-4272
Approximate (ZIP-level) locationGet directions
Mailing address
213 Lightwood Rd Ste 2
Deatsville, AL 36022
Registry dates
- Enumerated
- 2022-04-14
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.