Individual
AISHA RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 BAXTER AVE, LOUISVILLE, KY 40204-1103
(502) 518-3725
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
(502) 589-8745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
260457
KY
Other
Enumeration date
05/20/2022
Last updated
08/03/2026
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