Individual provider · Type 1 NPI

Jodi Rappa, CST, RST

Surgical Physician Assistant · Normal, IL

NPI number 1194150466 Active

Practice location

1604 Visa Dr, Ste. 2
Normal, IL 61761-2195

Mailing address

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053

Specialties and licenses

TaxonomyCodeLicense
Surgical Technologist 246ZS0410X237.000.132 (IL)
Surgical Physician Assistant Primary 363AS0400X238000537 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1194150466

Jodi Rappa, CST, RST's National Provider Identifier is 1194150466, issued on Sep 5, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Normal, IL. The record was last updated on Oct 4, 2018.