Individual
CALLIE ELIZABETH RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1748 WRIGHT AVE UNIT 107, WAHIAWA, HI 96786-6112
(918) 863-6191
Mailing address
1748 WRIGHT AVE UNIT 107, WAHIAWA, HI 96786-6112
(918) 863-6191
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-6114
HI
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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