Provider Demographics
NPI:1457014615
Name:RAUHAUSER, ZACHARY FITZGERALD (PTA)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:FITZGERALD
Last Name:RAUHAUSER
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:MR
Other - First Name:ZACH
Other - Middle Name:F
Other - Last Name:RAUHAUSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:755 RISHEL DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17406-7928
Mailing Address - Country:US
Mailing Address - Phone:717-424-5205
Mailing Address - Fax:
Practice Address - Street 1:635 TOWN CENTER DR STE B
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4804
Practice Address - Country:US
Practice Address - Phone:717-849-5547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI005720208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation