Individual
KYLE RUHDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
645 SUNRISE DR, SOMERSET, WI 54025
(715) 312-0608
Mailing address
6949 LAKEVIEW RD, SIREN, WI 54872-9015
(715) 312-0608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1765
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232904
NATIONAL SKI PATROL
—
Enumeration date
12/03/2015
Last updated
11/21/2019
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