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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAYVANA RUCKER

Active

JAYVANA RUCKER is a Physical Therapist Assistant healthcare provider located in SYRACUSE, New York. NPI 1215711064 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · SYRACUSE, NY

Registration Details

NPI Number
1215711064
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2023 (2.9867930049795 yrs)
Last Updated
Aug 22, 2023

Practice Information

Address
755 N SALINA ST
SYRACUSE, NY, 132082510
Browse NY providers · Browse ZIP 13208
Phone
3154559090
Primary Specialty
Physical Therapist Assistant
1744P3200X
Additional Specialty
Physical Therapist Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.