Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodi Ranae Rother, HIS

Individual provider Specialist · NPI 1902171606

Jodi Ranae Rother, HIS is a Specialist in Lakeville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
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Practice location Address checks out

17316 Kenyon Ave Ste 102
Lakeville, MN 55044-6909
Phone: (952) 255-8579
Fax: (952) 255-8578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2480 (MN)

Record details

NPI number1902171606
Entity typeIndividual (Type 1)
GenderFemale
Credentials HIS
Sole proprietorNo
NPI enumeratedMarch 13, 2012
Last updated in NPPESMarch 13, 2012

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