Provider Demographics
NPI:1730632530
Name:RHODES, IRIS LOCSO (DPT)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:LOCSO
Last Name:RHODES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:NH
Mailing Address - Zip Code:03586-4332
Mailing Address - Country:US
Mailing Address - Phone:619-417-5958
Mailing Address - Fax:
Practice Address - Street 1:71 HOBBS ST STE 102
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-8109
Practice Address - Country:US
Practice Address - Phone:603-447-4356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291206225100000X
NH5015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist