Stacey Lynn Ruddy

Physical Therapy Assistant · Frankenmuth, MI

Individual Active NPI

NPI number 1306467550

Practice location

100 Mayer Rd
Frankenmuth, MI 48734-1334
Phone
(989) 652-4663

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NPI record

NPI
1306467550
Entity type
Individual (Type 1)
Enumeration date
April 29, 2020
Last updated
April 29, 2020
Certified
April 29, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 5502000759 MI

Mailing address

4300 Chesaning Rd
Chesaning, MI 48616-8422
Phone
(989) 245-0870

About Stacey Ruddy

Stacey Lynn Ruddy is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 100 Mayer Rd, Frankenmuth, MI 48734-1334. The NPI number 1306467550 was assigned on April 29, 2020 and the record was last updated on April 29, 2020.

Stacey Ruddy lists a license in the registry: #5502000759 (MI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacey Lynn Ruddy?

The NPI number is 1306467550.

What is the phone number of Stacey Ruddy?

The phone number listed for the practice location is (989) 652-4663.

Where is Stacey Ruddy located?

100 Mayer Rd, Frankenmuth, MI 48734-1334.

What is the taxonomy code for Stacey Ruddy?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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