Individual
JESSICA RAE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
721 METROPOLITAN AVE STE C, LEAVENWORTH, KS 66048-1403
(913) 250-5452
Mailing address
77 6TH INFANTRY RD, FORT LEAVENWORTH, KS 66027-1146
(706) 251-5311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-06966
KS
Other
Enumeration date
08/10/2016
Last updated
11/02/2022
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