Provider Demographics
NPI:1679931075
Name:RHODES PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:RHODES PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:801-510-0283
Mailing Address - Street 1:722 SHEPARD LN STE 105
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-3845
Mailing Address - Country:US
Mailing Address - Phone:801-447-9339
Mailing Address - Fax:801-447-9552
Practice Address - Street 1:722 W. SHEPARD LANE SUITE 105
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025
Practice Address - Country:US
Practice Address - Phone:801-447-9339
Practice Address - Fax:801-447-9551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT290734-2401261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy