Kenneth J. Rodeman PT

NPI 1710182464 - Physical Therapist - 225100000X

NPI Details
NPI 1710182464
Gender Male
Enumeration Date 06/20/2007
Last Updated 06/17/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
3043 NE 28TH ST
LINCOLN CITY OR, 97367-4518, US
Phone (541) 996-7160
Fax (541) 996-7223
Business Location
3622 NE WEST DEVILS LAKE RD
LINCOLN CITY OR, 97367-5039, US
Phone (307) 250-2554
Fax (307) 764-4116
Toxanomy
Taxonomy Code 225100000X
License State Wyoming
License Number PT-302
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According to our database, Kenneth J. Rodeman PT NPI is 1710182464, taxonomy code is 225100000X and license number is PT-302, license state is located at Wyoming. Kenneth J. Rodeman PT physically located at 3043 Ne 28th St, Lincoln City OR, 97367-4518. NPI Number Kenneth J. Rodeman PT has the Individual type.

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1710182464 NPI number is provided on an as is basis without warranty of any kind. 1710182464 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth J. Rodeman PT are for informational purposes only.