Provider Demographics
NPI:1629952601
Name:REBOUND PLLC
Entity type:Organization
Organization Name:REBOUND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REHKOW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-953-0899
Mailing Address - Street 1:13209 S CASCADE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7146
Mailing Address - Country:US
Mailing Address - Phone:509-953-0899
Mailing Address - Fax:
Practice Address - Street 1:1054 W MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043
Practice Address - Country:US
Practice Address - Phone:509-953-0899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty