Provider Demographics
NPI:1083955256
Name:RAHL, TIMOTHY JR (CPA, CFO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:RAHL
Suffix:JR
Gender:M
Credentials:CPA, CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 CASCADE RD SE STE C
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-8411
Mailing Address - Country:US
Mailing Address - Phone:616-940-0987
Mailing Address - Fax:
Practice Address - Street 1:5005 CASCADE RD SE STE C
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-8411
Practice Address - Country:US
Practice Address - Phone:616-940-0987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter