Provider Demographics
NPI:1861612632
Name:RAHN, PETER H (PT)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:H
Last Name:RAHN
Suffix:
Gender:M
Credentials:PT
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Other - Middle Name:
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Mailing Address - Street 1:2547 PLAINFIELD NAPERVILLE RD
Mailing Address - Street 2:STE 152
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8701
Mailing Address - Country:US
Mailing Address - Phone:800-974-4378
Mailing Address - Fax:630-515-1536
Practice Address - Street 1:1550 MADISON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-3100
Practice Address - Country:US
Practice Address - Phone:920-568-9739
Practice Address - Fax:920-568-9742
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2020-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL070013606225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist