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Jody Boyd Rawlings, PT
Specialist in Rexburg, Idaho
NPI 1497897458

Jody Boyd Rawlings is a Specialist based in Rexburg, ID. Jody Boyd Rawlings practices in Rexburg, ID and has the professional credentials of PT. The NPI Number for Jody Boyd Rawlings is 1497897458 and holds a License No. PT 1346 (Idaho).

The current practice location address for Jody Boyd Rawlings is 217 N 2Nd East, Rexburg, ID and can be reached out via phone at 208-359-6127 and via fax at 208-359-9479.

Location: 217 N 2Nd East, Rexburg, ID, 83440-1621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497897458
Provider Name
Jody Boyd Rawlings
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
217 N 2Nd East, Rexburg, ID, 83440-1621
Phone Number
208-359-6127
Fax Number
208-359-9479
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
185556100 01 U.S. DEPT OF LABOR
650015362 01 RAILROAD MEDICARE
T3860 01 ID BLUE CROSS
000010020600 01 ID REGENCE BLUE SHIELD
1210564 05 WY
805399800 05 ID
institution
Provider Business Practice Location Address Details
Address
217 N 2Nd East
City
Rexburg
State
Idaho
Zip
83440-1621
Phone Number
208-359-6127
Fax Number
208-359-9479
person
Provider Business Mailing Address Details
Address
217 N 2Nd East
City
Rexburg
State
Idaho
Zip
83440-1621
Phone Number
208-359-6127
Fax Number
208-359-9479
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT 1346 (Idaho)
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.
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