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NPI Code Detail

MEDICARE: MRS. LISA ANN RHODES MPT

MEDICARE: MRS. LISA ANN RHODES MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist21175MD

General Provider Information

NPI Number : 1598962029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA ANN RHODES MPT
Provider Business Mailing Address
First Line : 135 BAKER ST
Second Line :
City : KEYSER
State : WV
Zip : 26726-2002
Country : US
Telephone Number : 304-788-5802
Fax Number :
Provider Business Practice Location Address
First Line : 11801 INDUSTRIAL PARK
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-5139
Country : US
Telephone Number : 301-729-3485
Fax Number : 301-729-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LISA ANN RHODES MPT” Practice Location

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