Individual
MR. RODNEY KEITH GANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C
Contact information
Practice address
1990 POPPS FERRY RD, BILOXI, MS 39532-2015
(228) 385-9000
Mailing address
1990 POPPS FERRY RD, BILOXI, MS 39532-2015
(228) 385-9000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 0841
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030470964
TRICARE
—
05
—
06008555
—
MS
Enumeration date
09/25/2006
Last updated
07/29/2008
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