Mark T Rathjen is a Sports in Omaha, Nebraska. Mark T Rathjen practices all healthcare services and medical treatments related to Sports. The NPI Number for Mark T Rathjen is 1003969619. The last update date is 2015-12-22.
Mark T Rathjen's current location address is 17660 Wright Street, Omaha, Nebraska. You can contact this provider via phone number 4029334027 and fax number 4029335027. The mailing address for Mark T Rathjen is 17660 Wright Street, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark T Rathjen |
|---|---|
| Address | 17660 Wright Street, Omaha, Nebraska |
| Phone Number | 4029334027 |
| Fax Number | 4029335027 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1003969619 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2015-12-22 |
Provider Mailing Address Detail
| Address | 17660 Wright Street |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 68130 |
| Phone Number | 4029334027 |
| Fax Number | 4029335027 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 2494 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025429200 | NE | -- | |
| 10025429000 | NE | -- | |
| 10025429300 | NE | -- | |
| 10025428900 | NE | -- | |
| 2170 | BCBS | ||
| 10025429100 | NE | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark T Rathjen?
The Mark T Rathjen has been issued the NPI (National Provider Identifier) 1003969619 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Mark T Rathjen's physical address?
The Mark T Rathjen is physically located at 17660 Wright Street, in the city of Omaha, NE, with the postal code 68130.
What is the area of specialization for Mark T Rathjen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark T Rathjen is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
When was the Mark T Rathjen's 1003969619 issued?
The Mark T Rathjen's 1003969619 was issued on 2007-01-18.
As of what date were the details pertaining to Mark T Rathjen last refreshed?
The information related to the Mark T Rathjen, including its address, specialty, and other relevant details, was last updated on 2015-12-22.