Individual
JAKE RATHSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 ELMWOOD AVE, OSHKOSH, WI 54901-3517
(920) 629-8583
Mailing address
3321 KIMBERLY CIR, MANITOWOC, WI 54220-1297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2055
WI
Other
Enumeration date
10/12/2017
Last updated
06/26/2020
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