Provider Demographics
NPI:1881652386
Name:RAPSON, DAVID W (PT SCS ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:RAPSON
Suffix:
Gender:M
Credentials:PT SCS ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2564 CROSSING CIRCLE
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684
Mailing Address - Country:US
Mailing Address - Phone:231-922-3655
Mailing Address - Fax:231-922-3657
Practice Address - Street 1:2564 CROSSING CIRCLE
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684
Practice Address - Country:US
Practice Address - Phone:231-922-3655
Practice Address - Fax:231-922-3657
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501300678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236650Medicare ID - Type Unspecified