Provider Demographics
NPI:1972567436
Name:RAPP, CURTIS JOHN (DC)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:JOHN
Last Name:RAPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 43
Mailing Address - Street 2:MR 10809
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55440-0043
Mailing Address - Country:US
Mailing Address - Phone:612-262-4813
Mailing Address - Fax:612-262-4194
Practice Address - Street 1:3500 213TH ST W
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-1168
Practice Address - Country:US
Practice Address - Phone:651-463-7181
Practice Address - Fax:651-460-7184
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN1466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN640027200Medicaid
T39626Medicare UPIN
MN640027200Medicaid