Provider Demographics
NPI:1124409644
Name:RAPIER, KADE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KADE
Middle Name:
Last Name:RAPIER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 E RIGGS RD
Mailing Address - Street 2:STE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5399
Mailing Address - Country:US
Mailing Address - Phone:480-802-8730
Mailing Address - Fax:480-802-8739
Practice Address - Street 1:950 E RIGGS RD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-5403
Practice Address - Country:US
Practice Address - Phone:602-795-8362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11598225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ683312OtherAHCCCS
AZZ153063Medicare PIN