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General NPI Number Information
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NPI Number | 1073456901
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Entity Type | Individual
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Provider Name | CAMMI RODKEY PTA
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Gender | Female
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 122 E GLAYDAS
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City | HOOKER
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State | OK
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Zip | 73945
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Country | US
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Telephone | 580-652-1111
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Fax | 580-652-1112
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Provider Business Mailing Address
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Address Line | PO BOX 264
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City | TYRONE
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State | OK
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Zip | 73951-0264
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Country | US
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Telephone | 580-528-1125
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-04310
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3803
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License Number State | OK
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