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
| Taxonomy | Code | License |
|---|---|---|
| Surgical Technologist | 246ZS0410X | 237.000.132 (IL) |
| Surgical Physician Assistant Primary | 363AS0400X | 238000537 (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.