Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 1890 | ID |
Y | 2251X0800X | Physical Therapist - Orthopedic | 1890 | ID |
NPI | 1326367459 |
---|---|
Provider Name | Deborah D Ruehle |
First Address | Sandpoint, ID 83864-1745 |
Second Address | Sandpoint, ID 83864-1745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 09/12/2015 |