Individual
PAUL DAVID RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
701 DE SOTO STREET, SALT LAKE CITY, UT 84103
(954) 632-1456
Mailing address
818 NW 133RD AVE, PEMBROKE PINES, FL 33028-3128
(954) 632-1456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9800106-4810
UT
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2014
Last updated
06/06/2016
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