Mark T Rathjen
Physical Therapist - Sports
17660 Wright Street Suites 9/10
Omaha
, Nebraska 68130
Mark T Rathjen
Physical Therapist - Sports
17660 Wright Street Suites 9/10
Omaha
, Nebraska 68130
(402) 933-5027
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Mark T Rathjen
- 17660 Wright Street Suites 9/10
- Omaha, NE
- Zip : 68130
- Fax : (402) 933-5027
- Phone : (402) 933-4027
Second Address
- Mark T Rathjen
- 17660 Wright Street Suites 9/10
- Omaha, NE
- Zip : 68130
- Fax : (402) 933-5027
- Phone : (402) 933-4027
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 2494 | NE |
National Provider Identifier
| NPI | 1003969619 |
|---|---|
| Provider Name | Mark T Rathjen |
| First Address | Omaha, NE 68130 |
| Second Address | Omaha, NE 68130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 22/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02170 | BCBS (01) | |
| 10025428900 | (05) | NE |
| 10025429000 | (05) | NE |
| 10025429100 | (05) | NE |
| 10025429200 | (05) | NE |
| 10025429300 | (05) | NE |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.