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General NPI Number Information
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NPI Number | 1982991998
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Entity Type | Individual
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Provider Name | CHRISTOPER L ROWEDDER PT
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Gender | Male
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Dates
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Enumeration Date | 06/29/2011
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 307 E. SCENIC VALLEY AVENUE SUITE 300
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City | INDIANOLA
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State | IA
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Zip | 50125-4865
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Country | US
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Telephone | 515-643-9109
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Fax | 515-643-9138
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Provider Business Mailing Address
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Address Line | 5627 NW 86TH ST # 200
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City | JOHNSTON
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State | IA
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Zip | 50131-1738
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Country | US
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Telephone | 515-643-9109
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Fax | 515-643-9138
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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 | 4785
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License Number State | IA
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