Individual
LEAH E RUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2121 BROADWAY AVE, SAINT PETER, MN 56082-2258
(708) 256-1160
Mailing address
19518 POPLAR ST, MOKENA, IL 60448-9323
(708) 256-1160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2240-39
WI
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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