Provider Demographics
NPI:1033818539
Name:RHODES, JEFFREY MASON (ACSM-CEP)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:MASON
Last Name:RHODES
Suffix:
Gender:M
Credentials:ACSM-CEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 STERLING ST
Mailing Address - Street 2:
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-1953
Mailing Address - Country:US
Mailing Address - Phone:509-312-9846
Mailing Address - Fax:
Practice Address - Street 1:911 STERLING ST
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-1953
Practice Address - Country:US
Practice Address - Phone:509-312-9846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist