Individual
MR. JASON LEE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 2002, KANSAS CITY, KS 66103-2937
(913) 588-6785
Mailing address
3901 RAINBOW BLVD, MAIL STOP 2002, KANSAS CITY, KS 66103-2937
(913) 588-6785
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
11-03585
KS
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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