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Individual

CRAIG N BODE

Active
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Individual

CRAIG N BODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02209
IA
225100000X
Physical Therapist
070-010146
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02209
IOWA PT LICENSE NO.
IA
01
—
070-010146
ILLINOIS PT LICENSE NO.
IL
Enumeration date
05/03/2006
Last updated
09/29/2026
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