Provider Demographics
NPI:1952632184
Name:RAUCH, JOSEPH T (PT, ATC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:RAUCH
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2851 ROBERS AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6321
Mailing Address - Country:US
Mailing Address - Phone:412-337-2920
Mailing Address - Fax:
Practice Address - Street 1:222 PIEDMONT AVE STE 2200
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4238
Practice Address - Country:US
Practice Address - Phone:513-556-4352
Practice Address - Fax:513-556-0691
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.012737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist