Provider Demographics
NPI:1861731267
Name:RHOADES, TORRELL (HEARING SPECIALIST)
Entity type:Individual
Prefix:
First Name:TORRELL
Middle Name:
Last Name:RHOADES
Suffix:
Gender:M
Credentials:HEARING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MARLIN ST.
Mailing Address - Street 2:
Mailing Address - City:HOLMEN
Mailing Address - State:WI
Mailing Address - Zip Code:54636
Mailing Address - Country:US
Mailing Address - Phone:608-792-8353
Mailing Address - Fax:507-457-9834
Practice Address - Street 1:1101 MARLIN ST.
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636
Practice Address - Country:US
Practice Address - Phone:608-792-8353
Practice Address - Fax:507-457-9834
Is Sole Proprietor?:No
Enumeration Date:2013-02-05
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2593237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN2593OtherMINNESOTA CERTIFIED HEARING SPECIALIST