Individual
MS. KAELA E RUEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3950
Mailing address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12818-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12818-24
WISCONSIN PT LICENSE
WI
Enumeration date
09/09/2014
Last updated
09/09/2014
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