Individual
DESTINY RUPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 N 7TH ST APT 5, TERRE HAUTE, IN 47807-2038
(951) 216-9446
Mailing address
712 N 7TH ST APT 5, TERRE HAUTE, IN 47807-2038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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