Individual
COLE THOMAS RHOADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10730 PACIFIC ST STE 210, OMAHA, NE 68114-4761
(402) 753-7230
Mailing address
2717 CAPE HORN CIR, PLATTSMOUTH, NE 68048-7158
(402) 202-0701
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1074
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1074
STATE OF NEBRASKA
NE
Enumeration date
01/10/2012
Last updated
01/10/2012
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