Individual
CRAIG RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4233 E 48TH ST, DES MOINES, IA 50317-4734
(515) 422-1099
Mailing address
4233 E 48TH ST, DES MOINES, IA 50317-4734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001474
IA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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