Ronald Rutten

NPI #1184097271 in Soda Springs, Idaho

Provider Information

NPI Number: 1184097271
Entity Type: Individual
Name: Ronald Rutten
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 11, 2015
Last Updated: Nov 11, 2015

Practice Location

Address: 300 S 3RD W
City: Soda Springs
State: Idaho
ZIP Code: 83276-1559
Phone: (208) 547-3341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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