Individual
ZACHARY KEITH RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(260) 402-2633
Mailing address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(260) 402-2633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002508A
IN
Other
Enumeration date
02/09/2011
Last updated
03/21/2016
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