Individual
NICOLE RUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7810 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-6255
(928) 522-8375
Mailing address
1200 N BEAVER ST, ATTN: PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13060
AZ
Other
Enumeration date
06/05/2017
Last updated
08/22/2023
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