Individual
MRS. TISHA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3838
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003484A
IN
225200000X
Physical Therapy Assistant
09005366
OH
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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