MEDICARE: DR. CHRISTOPHER RAUSCH DPT

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	225100000X	Physical Therapist	31631	FL

General Provider Information

NPI Number	:	1245701358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER RAUSCH DPT

Provider Business Mailing Address
First Line	:	16115 E COURSE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16115 E COURSE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-1123
Country	:	US
Telephone Number	:	404-444-6415
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

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Directions to “ DR. CHRISTOPHER RAUSCH DPT” Practice Location

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