Individual
ISABELLA SAGE RUTHIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7002
(607) 274-1456
Mailing address
107 GRIFFIN DR, FAYETTEVILLE, NY 13066-1923
(315) 350-8868
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2021
Last updated
11/04/2024
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