Provider Demographics
NPI:1629571948
Name:RHOADES, KATIE
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:RHOADES
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 1:470 KNOLLS PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-7409
Mailing Address - Country:US
Mailing Address - Phone:256-566-7117
Mailing Address - Fax:
Practice Address - Street 1:230 GREAT CIRCLE RD STE 202
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1710
Practice Address - Country:US
Practice Address - Phone:615-226-2840
Practice Address - Fax:615-226-2839
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program