Provider Demographics
NPI:1881146710
Name:RINTZ, STAN III (L,ATC)
Entity type:Individual
Prefix:MR
First Name:STAN
Middle Name:
Last Name:RINTZ
Suffix:III
Gender:M
Credentials:L,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SUSANS WAY
Mailing Address - Street 2:
Mailing Address - City:SWINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062
Mailing Address - Country:US
Mailing Address - Phone:207-671-7230
Mailing Address - Fax:
Practice Address - Street 1:9 SUSANS WAY
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4497
Practice Address - Country:US
Practice Address - Phone:207-671-7230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAT2122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer