Healthcare Provider Details

I. General information

NPI: 1578736161
Provider Name (Legal Business Name): PATSY RHODES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2008
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 ROCKY BROOK TRL
BIRMINGHAM AL
35214-1001
US

IV. Provider business mailing address

1033 ROCKYBROOK TRAIL
BIRMINGHAM AL
35214
US

V. Phone/Fax

Practice location:
  • Phone: 205-674-1626
  • Fax: 205-674-1999
Mailing address:
  • Phone: 205-674-1626
  • Fax: 205-674-1999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number08006183
License Number StateAL

VIII. Authorized Official

Name: MS. PATSY G RHODES
Title or Position: OWNER
Credential: CERTIFIED CONSULTANT
Phone: 205-674-1626