Sidney Avan Rudd, PT, DPT

NPI #1801619929 in Benton, Kentucky

Provider Information

NPI Number: 1801619929
Entity Type: Individual
Name: Sidney Avan Rudd, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Nov 6, 2024
Last Updated: Nov 6, 2024

Practice Location

Address: 315 W 5TH ST STE 200
City: Benton
State: Kentucky
ZIP Code: 42025-1152
Phone: (270) 252-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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