Provider Demographics
NPI:1417180944
Name:RAUSCHER, JOANNE (PT)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:RAUSCHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:LITTLE DEER ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04650-0122
Mailing Address - Country:US
Mailing Address - Phone:207-348-6008
Mailing Address - Fax:
Practice Address - Street 1:82 WATER ST.
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614
Practice Address - Country:US
Practice Address - Phone:207-374-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME#PT1269225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist