Provider Demographics
NPI:1881082543
Name:RHOADES, TERRY (PT, DPT)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:RHOADES
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6302 ZEIGLER RD
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-3883
Mailing Address - Country:US
Mailing Address - Phone:205-790-0976
Mailing Address - Fax:
Practice Address - Street 1:200 OFFICE PARK DR
Practice Address - Street 2:STE 220
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2455
Practice Address - Country:US
Practice Address - Phone:205-675-0051
Practice Address - Fax:205-449-5545
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist