Individual
MISS SARA ELIZABETH RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28151799A
IN
2255A2300X
Athletic Trainer
36000457A
IN
Other
Enumeration date
03/14/2006
Last updated
07/13/2026
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