Doctor Name: | MR. JEREMY PAUL RAUCH |
NPI Number: | 1871728584 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT, PT |
License Number: | 070.017057 |
Business Practice Address: | 425 Joliet St Suite 320 Dyer, IN - 463111765 |
Business Phone Number: | 2198640290 |
Business Fax Number: | 2198640376 |
Mailing Address: | 1555 183rd St, HOMEWOOD |
State: | IL |
Postal Code: | 604303401 |
Phone Number: | 7087126475 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2009 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.017057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |