Provider Demographics
NPI:1083030688
Name:CABAN, NIKI (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:NIKI
Middle Name:
Last Name:CABAN
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:MISS
Other - First Name:NIKI
Other - Middle Name:
Other - Last Name:RAUSCHENBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:5303 HAMILTON WOLFE RD APT 1304
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4366
Mailing Address - Country:US
Mailing Address - Phone:210-439-6527
Mailing Address - Fax:
Practice Address - Street 1:339 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720
Practice Address - Country:US
Practice Address - Phone:330-498-8239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2118867225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant