Provider Demographics
NPI:1043961758
Name:MATHIES, RASHEEKA
Entity Type:Individual
Prefix:
First Name:RASHEEKA
Middle Name:
Last Name:MATHIES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 W MILL RD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-1306
Mailing Address - Country:US
Mailing Address - Phone:414-241-0332
Mailing Address - Fax:
Practice Address - Street 1:5318 W MILL RD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-1306
Practice Address - Country:US
Practice Address - Phone:414-241-0332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)