Provider Demographics
NPI:1588646699
Name:RINKE, ROBERT CARL (PT DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CARL
Last Name:RINKE
Suffix:
Gender:M
Credentials:PT DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12811 8TH AVE W
Mailing Address - Street 2:A-205
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-6335
Mailing Address - Country:US
Mailing Address - Phone:425-348-1259
Mailing Address - Fax:425-348-3071
Practice Address - Street 1:12811 8TH AVE W
Practice Address - Street 2:A-205
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-6335
Practice Address - Country:US
Practice Address - Phone:425-348-1259
Practice Address - Fax:425-348-3071
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003112111N00000X
CA23964111N00000X
WAPT000062482251X0800X
CAPT126732251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA650023234OtherRAILROAD MEDICARE
WAAB29019Medicare PIN
WA650023234OtherRAILROAD MEDICARE
AB29019Medicare PIN