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NPI Code Detail

MEDICARE: KERRIE RHODES LMT

MEDICARE: KERRIE RHODES LMT
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
1225700000XMassage Therapist40437315LA

General Provider Information

NPI Number : 1518429349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRIE RHODES LMT
Provider Business Mailing Address
First Line : 69282 HIGHWAY 59 STE 4
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-7676
Country : US
Telephone Number : 985-951-2020
Fax Number : 985-951-2025
Provider Business Practice Location Address
First Line : 69282 HIGHWAY 59 STE 4
Second Line :
City : MANDEVILLE
State : LA
Zip : 70471-7676
Country : US
Telephone Number : 985-951-2020
Fax Number : 985-951-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2019
Last Update Date : 04/01/2019

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Directions to “ KERRIE RHODES LMT” Practice Location

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