Eric Raustein, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

10448567-4810 Issued in UT

Practice address

650 S 1100 E
Salt Lake City, UT 84102-3902

Phone

(206) 599-9201

NPI assigned

Dec 3, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1205306248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E 2100 S APT 823",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841066807",
            "telephone_number": "206-599-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S 1100 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023902",
            "telephone_number": "206-599-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSTEIN",
        "first_name": "ERIC",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "10448567-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rau
• Maureen Victoria Rauch
• Paul David Rauch, ATC
• Kirsten Rauk
• Reva P. Rauk, PT
• Jonathan Michael Ravarino, PHD
• Raven, Lotus & Grey, PLLC
• Ananya Ravi, MD
• Vijay Mysore Ravindra, MD
• Mirjam Ravneng, DPT

• Athletic Trainer in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.