Individual
MR. KEITH RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
85 STONEGATE LN, DERRY, NH 03038-2569
(603) 759-8588
Mailing address
420 S. MAIN ST, NASHUA, NH 03060-5086
(603) 897-8616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0255
NH
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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