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Individual

CODY RHODES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1923 FARMERVILLE HWY, RUSTON, LA 71270-3007
(318) 255-9601
(318) 255-7971
Mailing address
108 N MONROE ST, RUSTON, LA 71270-4363
(318) 255-9601
(318) 255-7971

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06475
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G5096
BCBS
LA
Enumeration date
09/12/2007
Last updated
08/31/2016
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