Individual
MR. LEMUEL DALE RUDD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
124 B W SPRUCE, SEQUIM PHYSICAL THERAPY CTR PS, SEQUIM, WA 98382
(360) 683-0632
(360) 681-8453
Mailing address
508 RESERVOIR RD, SEQUIM, WA 98382
(360) 681-2520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PR00002822
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0173768
WORKMAN'S COMP GRP
WA
05
—
7117260
—
WA
01
—
81061006701
KPS
—
01
—
8106WI
REGENCE
WA
05
—
8355133
—
WA
01
—
DA1273
RAILROAD MEDICARE GRP
—
01
—
OD64457
L & I IND
WA
01
—
P00017905
RAILROAD MEDICARE IND
—
Enumeration date
04/26/2006
Last updated
07/09/2007
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