Provider Demographics
NPI:1578725677
Name:LAKATOS-RATHJEN, CLAIRE RENEE (DPT)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:RENEE
Last Name:LAKATOS-RATHJEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:RENEE
Other - Last Name:LAKATOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:17660 WRIGHT ST
Mailing Address - Street 2:SUITES 9&10
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2102
Mailing Address - Country:US
Mailing Address - Phone:402-933-4027
Mailing Address - Fax:402-933-5027
Practice Address - Street 1:17660 WRIGHT ST
Practice Address - Street 2:SUITE 9/10
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2102
Practice Address - Country:US
Practice Address - Phone:402-933-4027
Practice Address - Fax:402-933-5027
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26752251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic