Individual
MR. KELLY R RUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
233 CLOVERLANE AVE SW, HARTVILLE, OH 44632-8918
(330) 877-1527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003194
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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