OrganizationActive
Advanced Sports and Rehab, LLC
NPI 1700138377 · Rehabilitation Clinic/Center · Malden, MO
Provider details
- NPI number
- 1700138377
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Keeling, Administrator(573) 718-2699
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1011 S Madison St
Malden, MO 63863-2462
Phone: (573) 276-4999
Fax: (573) 276-5084
Approximate (ZIP-level) locationGet directions
Mailing address
1899 N Westwood Blvd
Poplar Bluff, MO 63901-2833
Other names (DBA / former)
- Doing business as
- Semo Sports and Rehabilitation Center
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2013-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.