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JODI RANAE ROTHER HIS
NPI 1902171606
Specialist in Lakeville, MN

Active since March 13, 2012
17316 KENYON AVE, SUITE 102, LAKEVILLE, MN 55044(952) 255-8579(952) 255-8578 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodi Ranae Rother His NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JODI RANAE ROTHER HIS (NPI 1902171606) is an individual specialist in Lakeville, Minnesota, licensed in Minnesota (2480) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1902171606
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJODI RANAE ROTHERCredential: HIS
Location Address17316 KENYON AVE, SUITE 102Lakeville, MN 55044-6909
Mailing Address17316 Kenyon Ave, Suite 102Lakeville, MN 55044-6909 · (952) 255-8579 · Fax (952) 255-8578
Phone(952) 255-8579
Fax(952) 255-8578
Sole ProprietorNo
Enumeration DateMarch 13, 2012
✔ NPI 1902171606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MN · 2480
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17316 KENYON AVE, Lakeville, MN 55044
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Other Identifiers 1

Other2480MN · Mn Department Of Health

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPRIGHT HEALTH PLLC
Clinic/Center
17316 KENYON AVE
LAKEVILLE, MN 55044
Dakota County (952) 236-0767
THE HEARING AID DOCTOR, INC.
Hearing Instrument Specialist
17316 KENYON AVE, SUITE 102
LAKEVILLE, MN 55044
Dakota County (952) 255-8579
DR. GILBERT MATHEW ZIEBELL IV D.C.
Chiropractor
17316 KENYON AVE
LAKEVILLE, MN 55044
Dakota County (952) 236-0767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Rother's NPI number?

The NPI number for Jodi Rother is 1902171606. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Jodi Rother located?

Jodi Rother practices at 17316 Kenyon Ave Suite 102, Lakeville, MN 55044. The listed phone number is (952) 255-8579.

What is Jodi Rother's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jodi Rother was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.