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REBIRTH ADVANCED HEALING LLC
NPI 1174390413
Specialist in Johnson City, TN

Active since December 06, 2023
207 E MAIN ST STE 3A2, JOHNSON CITY, TN 37604(833) 870-0904 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2024, Dec 6, 2023 (2 updates tracked since 2023).

About Rebirth Advanced Healing Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBIRTH ADVANCED HEALING LLC (NPI 1174390413) is a healthcare organization registered as a specialist in Johnson City, Tennessee and active in the NPI registry since December 2023. The organization lists Aaron Trey Stapleton, Owner, as its authorized official.

NPPES Registry Identity

NPI1174390413
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameREBIRTH ADVANCED HEALING LLC
Location Address207 E MAIN ST STE 3A2Johnson City, TN 37604-5749
Mailing Address207 E Main St Ste 3a2Johnson City, TN 37604-5749
Phone(833) 870-0904
Organization SubpartNo
Authorized OfficialAaron Trey StapletonOwner · (865) 323-2500
Enumeration DateDecember 6, 2023
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1174390413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
207 E MAIN ST STE 3A2, Johnson City, TN 37604
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebirth Advanced Healing LLC's NPI number?

The NPI number for Rebirth Advanced Healing LLC is 1174390413. It was assigned to this organization in the NPPES registry on December 6, 2023.

Where is Rebirth Advanced Healing LLC located?

Rebirth Advanced Healing LLC is located at 207 E Main St Ste 3a2, Johnson City, TN 37604. The listed phone number is (833) 870-0904.

What is Rebirth Advanced Healing LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Rebirth Advanced Healing LLC was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.