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General NPI Number Information
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NPI Number | 1497897458
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Entity Type | Individual
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Provider Name | JODY BOYD RAWLINGS P. T.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 217 N 2ND EAST
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City | REXBURG
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State | ID
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Zip | 83440-1621
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Country | US
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Telephone | 208-359-6127
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Fax | 208-359-9479
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Provider Business Mailing Address
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Address Line | 217 N 2ND E
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City | REXBURG
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State | ID
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Zip | 83440-1621
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Country | US
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Telephone | 208-359-6127
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Fax | 208-359-9479
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT1346
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License Number State | ID
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