Provider Demographics
NPI:1053123422
Name:CRIST & PIESCHL REHABILITATION, P.A.
Entity type:Organization
Organization Name:CRIST & PIESCHL REHABILITATION, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/ PT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:785-562-7148
Mailing Address - Street 1:535B RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66548-9140
Mailing Address - Country:US
Mailing Address - Phone:785-562-7148
Mailing Address - Fax:
Practice Address - Street 1:708 N 18TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66508-1338
Practice Address - Country:US
Practice Address - Phone:785-562-4480
Practice Address - Fax:785-562-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty