Provider Demographics
NPI:1578873337
Name:RAUTER, ANGELA RUTH (AP, DOM, LMT)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:RUTH
Last Name:RAUTER
Suffix:
Gender:F
Credentials:AP, DOM, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-4021
Mailing Address - Country:US
Mailing Address - Phone:941-315-6858
Mailing Address - Fax:
Practice Address - Street 1:830 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-4021
Practice Address - Country:US
Practice Address - Phone:941-315-6858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-14
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50266225700000X
FLAP3169171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist