Provider Demographics
NPI:1992276422
Name:RAUH, CAROLYN SUE (PT, MPT)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:SUE
Last Name:RAUH
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SCHWIETERMAN ST
Mailing Address - Street 2:
Mailing Address - City:MINSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45865-8729
Mailing Address - Country:US
Mailing Address - Phone:419-628-6920
Mailing Address - Fax:
Practice Address - Street 1:150 SCHWIETERMAN ST
Practice Address - Street 2:
Practice Address - City:MINSTER
Practice Address - State:OH
Practice Address - Zip Code:45865-8729
Practice Address - Country:US
Practice Address - Phone:419-628-6920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH94992251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic