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Individual

CARISSA DEE RUBOTTOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 E 7TH ST, HAYS, KS 67601-4199
(785) 628-2871
Mailing address
3075 P RD, WOODSTON, KS 67675-9057
(785) 434-6335

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04535
KS
101YM0800X
Mental Health Counselor
13093
NE
225100000X
Physical Therapist
1093
WY
225100000X
Physical Therapist
11-07480
KS
225100000X
Physical Therapist
2500
NE

Other

Enumeration date
03/16/2007
Last updated
05/30/2025
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