Individual
MS. KYLE RUDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2316 73RD AVENUE CT, GREELEY, CO 80634-8684
(970) 397-0627
Mailing address
2316 73RD AVENUE CT, GREELEY, CO 80634-8684
(970) 397-0627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0353426
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12255076
—
CO
Enumeration date
03/19/2007
Last updated
06/17/2015
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