Provider Demographics
NPI:1235229881
Name:RAUSER, JOEL (BMR, PT, MTC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:RAUSER
Suffix:
Gender:M
Credentials:BMR, PT, MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 ACADEMY CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1690
Mailing Address - Country:US
Mailing Address - Phone:719-596-5000
Mailing Address - Fax:719-596-0890
Practice Address - Street 1:2140 ACADEMY CIR
Practice Address - Street 2:SUITE A
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1690
Practice Address - Country:US
Practice Address - Phone:719-596-5000
Practice Address - Fax:719-596-0890
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8153225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO547218Medicare ID - Type Unspecified