Doctor Name: | THOMAS RODEGHERO |
NPI Number: | 1205986239 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2006034980 |
Business Practice Address: | 3522 Palmyra Rd Suite A Hannibal, MO - 634012212 |
Business Phone Number: | 5732488076 |
Business Fax Number: | 5732488082 |
Mailing Address: | 10960 Scotts Place, HANNIBAL |
State: | MO |
Postal Code: | 63401 |
Phone Number: | 5732488076 |
Fax Number: | 5732488082 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 02/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2006034980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |