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NPI Code Detail

MEDICARE: KEITH ROED PT, DPT, CMPT

MEDICARE:   KEITH  ROED  PT, DPT, CMPT
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
1225100000XPhysical Therapist1811SD
2225100000XPhysical Therapist004816IA

General Provider Information

NPI Number : 1942597323
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEITH ROED PT, DPT, CMPT
Provider Business Mailing Address
First Line : 4295 SERGEANT RD
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-4625
Country : US
Telephone Number : 712-560-0460
Fax Number : 712-560-4137
Provider Business Practice Location Address
First Line : 4295 SERGEANT RD
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106
Country : US
Telephone Number : 712-560-0460
Fax Number : 712-560-4137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 05/15/2026

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Directions to “ KEITH ROED PT, DPT, CMPT” Practice Location

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