Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 634 | CO |
NPI | 1053385799 |
---|---|
Provider Name | Mr. Kevin Matthew Rhodes |
First Address | Loveland, CO 80538-2797 |
Second Address | Loveland, CO 80538-2797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 03/03/2017 |