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NPI Code Detail

MEDICARE: MR. RHODRI L PURCELL PT, MPT, OCS, CSCS

MEDICARE:  MR. RHODRI L PURCELL  PT, MPT, OCS, CSCS
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
12251X0800XOrthopedic Physical Therapist6186256-2401UT

General Provider Information

NPI Number : 1417916784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RHODRI L PURCELL PT, MPT, OCS, CSCS
Provider Business Mailing Address
First Line : 167 N 300 E
Second Line :
City : MT PLEASANT
State : UT
Zip : 84647
Country : US
Telephone Number : 435-462-0195
Fax Number :
Provider Business Practice Location Address
First Line : 112 N MAIN ST
Second Line :
City : EPHRAIM
State : UT
Zip : 84627-1104
Country : US
Telephone Number : 435-283-5662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 05/03/2010

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Directions to “ MR. RHODRI L PURCELL PT, MPT, OCS, CSCS” Practice Location

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