Provider Demographics
NPI:1184140931
Name:SCHRAUFNAGEL, RACHEL ANN (DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:SCHRAUFNAGEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:SPAETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:W234N8726 WOODSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-1238
Mailing Address - Country:US
Mailing Address - Phone:262-309-4243
Mailing Address - Fax:
Practice Address - Street 1:1235 DAKOTA DR STE L
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-9477
Practice Address - Country:US
Practice Address - Phone:262-376-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1397124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist