Individual
MR. JARED CLINTON RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
215 N NEWTON AVE, EL DORADO, AR 71730-5421
(870) 863-5100
(870) 863-5102
Mailing address
215 N NEWTON AVE, EL DORADO, AR 71730-5421
(870) 863-5100
(870) 863-5102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2026
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133180721
—
AR
01
—
5T750
BLUE CROSS BLUE SHIELD
AR
01
—
POO149211
MEDICARE RAILROAD
AR
Enumeration date
11/29/2006
Last updated
02/05/2019
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