MEDICARE: MRS. ROSE MARIE RAUBE P.T.A

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	174400000X	Specialist	PTA390	ID

General Provider Information

NPI Number	:	1053525964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROSE MARIE RAUBE P.T.A

Provider Business Mailing Address
First Line	:	375 BUSTLE CREEK ROAD
Second Line	:
City	:	ALTA
State	:	WY
Zip	:	83414-4505
Country	:	US
Telephone Number	:	307-353-2929
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E HOWARD ST
Second Line	:
City	:	DRIGGS
State	:	ID
Zip	:	83422-5112
Country	:	US
Telephone Number	:	208-354-3128
Fax Number	:

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396715371 — TROY D WESTON PA
Practice Location Address:

120 E HOWARD ST , TETON VALLEY HEALTH CARE
DRIGGS, ID
83422-5112

Practice Phone: 208-354-6302
Practice Fax: 208-354-3158

1710959184 — TETON VALLEY HOSPITAL & SURGICENTER
Practice Location Address:

120 EAST HOWARD AVENUE
DRIGGS, ID
83422-5112

Practice Phone: 208-354-2383
Practice Fax: 208-354-3158

1780625632 — TETON VALLEY HOSPITAL & SURGICENTER
Practice Location Address:

283 N 1ST STREET
DRIGGS, ID
83422-5112

Practice Phone: 208-354-2302
Practice Fax: 208-354-8392

1821031998 — MR. DAVID A SAURMAN PA-C
Practice Location Address:

120 EAST HOWARD AVENUE , TETON VALLEY HEALTH CARE
DRIGGS, ID
83422-5112

Practice Phone: 208-354-6302
Practice Fax: 208-354-3158

1770504391 — TETON VALLEY HOSPITAL & SURGICENTER
Practice Location Address:

120 E HOWARD ST
DRIGGS, ID
83422-5112

Practice Phone: 208-354-6317
Practice Fax:

1417015876 — TERRELL L. KELLY LCSW
Practice Location Address:

120 E HOWARD ST
DRIGGS, ID
83422-5112

Practice Phone: 208-354-6317
Practice Fax:

Directions to “ MRS. ROSE MARIE RAUBE P.T.A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.