Jodi Lynn Dorage
Physical Therapy Assistant
1402 Main St
Manson
, Iowa 50563-5160
Jodi Lynn Dorage
Physical Therapy Assistant
1402 Main St
Manson
, Iowa 50563-5160
(712) 469-3523
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Jodi Lynn Dorage
- 847 14th Ave Po Box 804
- Manson, IA
- Zip : 50563-7729
- Phone : (712) 469-3523
Second Address
- Jodi Lynn Dorage
- 1402 Main St
- Manson, IA
- Zip : 50563-5160
- Phone : (712) 469-3908
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 00126 | IA |
National Provider Identifier
| NPI | 1013158682 |
|---|---|
| Provider Name | Jodi Lynn Dorage |
| First Address | Manson, IA 50563-7729 |
| Second Address | Manson, IA 50563-5160 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.