Individual
JACK PETER RATHKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-1000
Mailing address
3130 4TH ST APT 305, LUBBOCK, TX 79415-3296
(414) 331-2768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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