Individual
JAY AARON RUETTGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
691 MURPHY RD, STE 126, MEDFORD, OR 97504-4346
(541) 779-1041
(541) 779-8704
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4765
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233089
—
OR
Enumeration date
11/30/2005
Last updated
11/12/2012
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