Individual
CARRIE R RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1130714
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201894701
—
TX
01
—
813T84
BCBS
TX
01
—
8T9272
BCBS
TX
Enumeration date
03/29/2007
Last updated
10/20/2015
Update your record
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