JAKE RATHSACK

OSHKOSH, WI
NPI1952812372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  2055)
Enumeration Date2017-10-12
Last Update Date2020-06-26
Business Address
JAKE RATHSACK
712 ELMWOOD AVE
OSHKOSH, WI 54901-3517
Phone number: 920-629-8583
Mailing Address
JAKE RATHSACK
3321 KIMBERLY CIR
MANITOWOC, WI 54220-1297
Phone number: