Individual
MR. WILLIAM TRAVIS RUCKER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5525 GREENFIELD AVE, INDIANAPOLIS, IN 46219-7113
(317) 868-6944
(317) 868-6944
Mailing address
5525 GREENFIELD AVE, INDIANAPOLIS, IN 46219-7113
(317) 868-6944
(317) 868-6944
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
IN
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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