Rusty Raker, OTR/L

NPI 1891092300 · on the registry since 2011 · sole proprietor

Practice

Address: 300 Pasteur Dr
Stanford, CA 94305
Phone: (650) 725-5106
Organisation at this address: Gazebo Health
Stanford Hospital
Stanford Hospital
Stanford University
Stanford University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5,206

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California