Provider Demographics
NPI:1215601067
Name:RHODES, AMELIA LOUISE (BS, PTA)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:LOUISE
Last Name:RHODES
Suffix:
Gender:F
Credentials:BS, PTA
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:LOUISE
Other - Last Name:L'ECUYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, PTA
Mailing Address - Street 1:2600 COMPASS RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8001
Mailing Address - Country:US
Mailing Address - Phone:877-787-3430
Mailing Address - Fax:
Practice Address - Street 1:612 3RD ST
Practice Address - Street 2:
Practice Address - City:LINN
Practice Address - State:KS
Practice Address - Zip Code:66953-9052
Practice Address - Country:US
Practice Address - Phone:785-348-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1403737225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant