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NPI Code Detail

MEDICARE: DR. KEVIN RODRIGUEZ PT, DPT

MEDICARE: DR. KEVIN RODRIGUEZ PT, DPT
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 TherapistPTL.0019578CO

General Provider Information

NPI Number : 1952165912
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN RODRIGUEZ PT, DPT
Provider Business Mailing Address
First Line : 1650 N GRANT ST
Second Line :
City : DENVER
State : CO
Zip : 80203-1602
Country : US
Telephone Number : 303-482-1540
Fax Number : 303-482-1545
Provider Business Practice Location Address
First Line : 1650 N GRANT ST
Second Line :
City : DENVER
State : CO
Zip : 80203-1602
Country : US
Telephone Number : 303-482-1540
Fax Number : 303-482-1545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2024
Last Update Date : 02/14/2024

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