Shannon Leah Rutz, MPT

NPI #1528714300 in Sparta, Wisconsin

Provider Information

NPI Number: 1528714300
Entity Type: Individual
Name: Shannon Leah Rutz, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Mar 1, 2022
Last Updated: Mar 1, 2022

Practice Location

Address: 331 S WATER ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-1726
Phone: (608) 269-3168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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