Individual
LOUIS RUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
138 N LUCRETIA ST, OAKLAND CITY, IN 47660-1038
(812) 749-1291
(812) 749-1291
Mailing address
138 N LUCRETIA ST, OAKLAND CITY, IN 47660-1038
(812) 749-1291
(812) 749-1291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096003648
IL
2255A2300X
Athletic Trainer
Primary
36002393A
IN
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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