Individual
MR. RULIN J HAWKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1818 S 10TH AVE STE 100, CALDWELL, ID 83605-4880
(208) 453-9111
(208) 453-9115
Mailing address
1818 S 10TH AVE STE 100, CALDWELL, ID 83605-4880
(208) 453-9111
(208) 453-9115
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1122
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008987
STATE INS VENDOR #
ID
01
—
611699600
ACS PROVDER #
ID
05
—
804131400
—
ID
01
—
TA179
BCBS ID #
ID
Enumeration date
05/21/2007
Last updated
12/16/2025
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