Jodi Loraine Rinear

Individual provider Active NPI Developmental Therapist · Versailles, IN

NPI 1962270322 · NPPES record last updated Dec 15, 2023

Key facts

NPI
1962270322
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
4019 E County Road 425 S
Versailles, IN 47042-8337
Phone
(513) 205-0640
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

4019 E County Road 425 S
Versailles, IN 47042-8337

Mailing address

4019 E County Road 425 S
Versailles, IN 47042-8337
Phone (513) 205-0640

Other providers in Versailles, IN

All providers in Versailles, IN · Developmental Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.