Provider Demographics
NPI:1679812564
Name:ROCHFORD, LINEA BETH (PT)
Entity Type:Individual
Prefix:
First Name:LINEA
Middle Name:BETH
Last Name:ROCHFORD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINEA
Other - Middle Name:BETH
Other - Last Name:BARTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 860143
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0143
Mailing Address - Country:US
Mailing Address - Phone:319-338-5700
Mailing Address - Fax:319-338-5775
Practice Address - Street 1:3290 RIDGEWAY DR STE 3
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2023
Practice Address - Country:US
Practice Address - Phone:319-665-2630
Practice Address - Fax:319-665-2631
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA076596225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist