Provider Demographics
NPI:1780136739
Name:RINCHER, MARA-PAIGE BENNETT (ATC)
Entity type:Individual
Prefix:
First Name:MARA-PAIGE
Middle Name:BENNETT
Last Name:RINCHER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLIMAX
Mailing Address - State:MI
Mailing Address - Zip Code:49034-9773
Mailing Address - Country:US
Mailing Address - Phone:734-680-9042
Mailing Address - Fax:
Practice Address - Street 1:372 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLIMAX
Practice Address - State:MI
Practice Address - Zip Code:49034-9773
Practice Address - Country:US
Practice Address - Phone:734-680-9042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program