Individual
MARTY LEROY RUECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
250 N MAIN ST, TOOELE, UT 84074-1650
(435) 243-5542
Mailing address
250 N MAIN ST, TOOELE, UT 84074-1650
(435) 243-5542
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10462828-1202
UT
Other
Enumeration date
08/21/2017
Last updated
10/07/2019
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