Provider Demographics
NPI:1255134458
Name:RAASCH, SAMANTHA JO (CD(DONA) ,PCD(DONA))
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:JO
Last Name:RAASCH
Suffix:
Gender:
Credentials:CD(DONA) ,PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64468-2776
Mailing Address - Country:US
Mailing Address - Phone:660-254-4942
Mailing Address - Fax:
Practice Address - Street 1:109 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:MO
Practice Address - Zip Code:64468-2776
Practice Address - Country:US
Practice Address - Phone:660-254-4942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula