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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: July 19, 2026.

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

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Group Taxonomy
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Specialist

About REBIRTH ADVANCED HEALING LLC

This page provides the complete NPI Profile along with additional information for Rebirth Advanced Healing Llc, a provider established in Johnson City, Tennessee operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1174390413 assigned on December 2023. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Rebirth Advanced Healing Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Aaron Trey Stapleton (Owner)

NPI
1174390413 Verify this NPI
Provider Name
REBIRTH ADVANCED HEALING LLC
Entity Type
Organization
Location Address
207 E MAIN ST STE 3A2 JOHNSON CITY, TN 37604
Location Phone
(833) 870-0904
Mailing Address
207 E MAIN ST STE 3A2 JOHNSON CITY, TN 37604
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-06-2023
Last Update Date
08-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AARON TREY STAPLETON

Authorized Official Title
OWNER
Authorized Official Phone
(865) 323-2500

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Frequently Asked Questions

What is REBIRTH ADVANCED HEALING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1174390413, enumerated as an "organization" on December 06, 2023.

Where is the provider located?

The provider is located at 207 E MAIN ST STE 3A2 JOHNSON CITY, TN 37604 and the phone number is (833) 870-0904.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.