Provider Demographics
NPI:1174374870
Name:RESOLVE REHABILITATION AND WELLNESS LLC
Entity type:Organization
Organization Name:RESOLVE REHABILITATION AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:505-879-0495
Mailing Address - Street 1:4024 E WAGON CIR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-8394
Mailing Address - Country:US
Mailing Address - Phone:505-879-0495
Mailing Address - Fax:
Practice Address - Street 1:3193 S RANCH HOUSE CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-0313
Practice Address - Country:US
Practice Address - Phone:505-879-0495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy