Provider Demographics
NPI:1295880342
Name:RAISPIS, ANNE MARIE (PT)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:RAISPIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2083 LAKELYN CT
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-4473
Mailing Address - Country:US
Mailing Address - Phone:859-344-1529
Mailing Address - Fax:
Practice Address - Street 1:2083 LAKELYN CT
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-4473
Practice Address - Country:US
Practice Address - Phone:859-803-8890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT4825225100000X
KYPT-001655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH611430659OtherHUMANA
OH611430659OtherPHCS
OH611430659OtherUNITED HEALTHCARE
OH611430659OtherHUMANA