Individual
LINDSEY RUECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
224 SPRUCE LN, POCA, WV 25159-9640
(304) 419-2321
Mailing address
224 SPRUCE LN, POCA, WV 25159-9640
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001240
WV
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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