Provider Demographics
NPI:1821367152
Name:RASCO, JEFFREY LEE (RRT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:LEE
Last Name:RASCO
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3418
Mailing Address - Country:US
Mailing Address - Phone:724-557-1559
Mailing Address - Fax:
Practice Address - Street 1:15 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-3418
Practice Address - Country:US
Practice Address - Phone:724-557-1559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279C0205XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredCritical Care