Individual
AMBER RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 HOSPITAL RD, STARKVILLE, MS 39759-2125
(662) 323-6360
Mailing address
110 LYNN LN, APT 12D, STARKVILLE, MS 39759-3924
(601) 938-2358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4572
MS
Other
Enumeration date
09/15/2009
Last updated
01/27/2012
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