Provider Demographics
NPI:1932558939
Name:RAUSCH, EMILY T (PT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:T
Last Name:RAUSCH
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 1:2040 WEST MAIN
Mailing Address - Street 2:#212
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702
Mailing Address - Country:US
Mailing Address - Phone:605-593-6573
Mailing Address - Fax:605-716-7956
Practice Address - Street 1:2040 WEST MAIN
Practice Address - Street 2:#212
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702
Practice Address - Country:US
Practice Address - Phone:605-593-6573
Practice Address - Fax:605-716-7956
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1284830225100000X
CA293671225100000X
IA092526225100000X
ALPTH9195225100000X
SD1896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist