MEDICARE: MS. ANGELA RUTH RAUTER A.P., D.O.M., L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	50266	FL
2	171100000X	Acupuncturist	AP3169	FL

General Provider Information

NPI Number	:	1578873337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELA RUTH RAUTER A.P., D.O.M., L.M.T.

Provider Business Mailing Address
First Line	:	830 CENTRAL AVE
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-4021
Country	:	US
Telephone Number	:	941-315-6858
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 CENTRAL AVE
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34236-4021
Country	:	US
Telephone Number	:	941-315-6858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	07/22/2014

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