Individual
CRAIG N BODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3605 UNIVERSITY DR STE 2, MUSCATINE, IA 52761-9607
(563) 263-2639
(563) 263-2691
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02209
IA
225100000X
Physical Therapist
070-010146
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02209
IOWA PT LICENSE NO.
IA
01
—
070-010146
ILLINOIS PT LICENSE NO.
IL
Enumeration date
05/03/2006
Last updated
04/11/2012
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