Provider Demographics
NPI:1306801162
Name:RODEMER, VALERIE KAY (PT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:KAY
Last Name:RODEMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16C DEATRICK DR
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-6958
Mailing Address - Country:US
Mailing Address - Phone:717-337-3300
Mailing Address - Fax:717-337-2977
Practice Address - Street 1:16C DEATRICK DRIVE
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-3401
Practice Address - Country:US
Practice Address - Phone:717-337-3300
Practice Address - Fax:717-337-2977
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009091E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1684641OtherHIGHMARK
PA1011968820002Medicaid
PA3719295OtherAETNA
PA64463901OtherCAREFIRST BLUE SHIELD
PA2357863000OtherPERSONAL CHOICE
PAT7090007OtherCAREFIRST
PA50045386OtherCAPITAL BLUE CROSS
PA1011968820002Medicaid