Individual
SUE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 E NORTH ST, DEFOREST, WI 53532-1258
(608) 846-3337
Mailing address
312 E NORTH ST, DEFOREST, WI 53532-1258
(608) 846-3337
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
170-146
WI
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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