Individual
REBBECCA ALISTER RUCKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
741 CR 503, RIPLEY, MS 38663-3866
(662) 587-0699
Mailing address
741 COUNTY ROAD 503, RIPLEY, MS 38663-8488
(662) 587-0699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0840
MS
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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