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NPI Code Detail

MEDICARE: RIO HAACK

MEDICARE: RIO HAACK
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
1225100000XPhysical Therapist10665MN

General Provider Information

NPI Number : 1245769306
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIO HAACK
Provider Business Mailing Address
First Line : 2530 BROADWAY AVE N
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4594
Country : US
Telephone Number : 507-259-7570
Fax Number :
Provider Business Practice Location Address
First Line : 2530 BROADWAY AVE N
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4594
Country : US
Telephone Number : 507-259-7570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2017
Last Update Date : 07/21/2022

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Directions to “ RIO HAACK ” Practice Location

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