Individual
KENNETH J. RODEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 996-7160
(541) 996-7223
Mailing address
3622 NE WEST DEVILS LAKE RD, LINCOLN CITY, OR 97367-5039
(307) 250-2554
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1793
OR
225100000X
Physical Therapist
PT-302
WY
Other
Enumeration date
06/20/2007
Last updated
06/17/2016
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