OrganizationActive
Prorehab PC
NPI 1972148179 · Physical Therapist · Eldon, MO
Provider details
- NPI number
- 1972148179
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Juana Granados, Credentialing Manager(630) 575-1980
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
301 S Maple St
Eldon, MO 65026-1854
Phone: (573) 375-5944
Approximate (ZIP-level) locationGet directions
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Other names (DBA / former)
- Doing business as
- Athletico Physical Therapy
Registry dates
- Enumerated
- 2019-11-12
- Last updated
- 2019-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.