Individual
HAILEY RAE RUETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3415 SHERIDAN RD, KENOSHA, WI 53140-1924
(262) 657-6175
Mailing address
4200 S LAKE DR UNIT 357, SAINT FRANCIS, WI 53235-5969
(715) 937-8858
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7248-27
WI
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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