Provider Demographics
NPI:1144361213
Name:RATHMANN, THOMAS J (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:RATHMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 GOVERNMENT ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-6028
Mailing Address - Country:US
Mailing Address - Phone:225-389-9971
Mailing Address - Fax:225-389-9622
Practice Address - Street 1:753 GOVERNMENT ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-6028
Practice Address - Country:US
Practice Address - Phone:225-389-9971
Practice Address - Fax:225-389-9622
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor