| Doctor Name: | CODIE MARIE ROBERTS |
| NPI Number: | 1083975635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 004597 |
| Business Practice Address: | 450 Laurel St Des Moines, IA - 503143045 |
| Business Phone Number: | 5153236485 |
| Business Fax Number: | |
| Mailing Address: | 1167 20th Pl, WEST DES MOINES |
| State: | IA |
| Postal Code: | 502652202 |
| Phone Number: | 5156640777 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 004597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |