| Doctor Name: | MR. ROD EUGENE FLEMING |
| NPI Number: | 1588738405 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 2476PT |
| Business Practice Address: | 298 Osloski Rd Eureka, MT - 599179058 |
| Business Phone Number: | 4062973915 |
| Business Fax Number: | 4062973919 |
| Mailing Address: | 548 Ocean St, SANTA CRUZ |
| State: | CA |
| Postal Code: | 950606602 |
| Phone Number: | 8314233196 |
| Fax Number: | 8314230755 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 11/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 2476PT |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |