Tactical Rehabilitation INC
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Kingsland, GA. Organization (NPI-2).
NPI number1962001123
StatusActive
Last updated in NPPESMar 15, 2026
Details
- NPI
- 1962001123
- Entity type
- Organization (NPI-2)
- Legal business name
- Tactical Rehabilitation INC
- Organization subpart
- Yes
- Enumeration date
- Oct 20, 2020
- Certification date
- Mar 15, 2026
- Last updated
- Mar 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | – | – | Yes |
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | – | – | |
| 225000000X | Orthotic Fitter | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
1891 Hwy 40 E Ste 1108Kingsland, GA 31548-6573
Phone 904-420-7365
Mailing address
2040 Wilmington Hwy Ste AJacksonville, NC 28540-3191
Phone 423-262-9720
Authorized official
Karen C Lyons
Chief Financial Officer
4232629720
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