Provider Demographics
NPI:1619358645
Name:KABELELE, RHOIDA
Entity Type:Individual
Prefix:
First Name:RHOIDA
Middle Name:
Last Name:KABELELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13500 NOEL RD APT 422
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5246
Mailing Address - Country:US
Mailing Address - Phone:334-492-2210
Mailing Address - Fax:
Practice Address - Street 1:401 MURPHREE ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-2116
Practice Address - Country:US
Practice Address - Phone:334-492-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant