Individual
KAITLIN RUTHSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
650 W BOUGH LN STE 168, HOUSTON, TX 77024-4099
(832) 658-3150
Mailing address
650 W BOUGH LN STE 168, HOUSTON, TX 77024-4099
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2156590
TX
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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