Individual
KELLI JO RUECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
901 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 387-3031
(563) 387-3021
Mailing address
PO BOX 80, OSSIAN, IA 52161-0080
(563) 532-8900
(563) 387-3021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00277
IA
Other
Enumeration date
04/10/2006
Last updated
12/15/2022
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