Cabaness, Jodi Lynne
Cabaness, Jodi Lynne is an individual health care provider with primary practice located at 7411 Ellis St Ste 200 , Fort Smith AR 72916-6106. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Cabaness, Jodi Lynne can be contacted via phone (479) 242-3414.Contact Information
Primary practice address
7411 Ellis St Ste 200
Fort Smith AR 72916-6106
Phone: (479) 242-3414
Fax: (479) 242-3415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine | 2081P0010X | PT2590 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT2590 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2590 | Arkansas |
Profile Details
| NPI number | 1316974793 |
|---|---|
| LBN Legal business name | Cabaness, Jodi Lynne |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jun 20th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316974793 | NPPES |
| Arkansas | Other | 5W921 | BCBS |
| Arkansas | MEDICAID | 146251721 | BCBS |
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