Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW MARK RUECKERT, ATC
Active Sole ProprietorAthletic Trainer · FAYETTE, IA
Registration Details
- NPI Number
- 1891811261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.114324296475 yrs)
- Last Updated
- Jul 8, 2007
- License
-
00375 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
605 WASHINGTON STFAYETTE, IA, 521429206Browse IA providers · Browse ZIP 52142
- Phone
- 5634255364
- Fax
- 5634255334
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FAYETTE, IA
| Name | Credential | NPI |
|---|---|---|
| MATTHEW SKUFZA | MS, ATC, LAT | 1710021548 |
| MS. MOLLY MICHELLE MCDONALD | ATC, LAT | 1114042215 |
| ANGELA MARIE LEETE | — | 1003932484 |
| MR. EVAN JAY BARTUSEK | MS, ATC | 1033430483 |
| RACHEL BOEKE | MPA, LAT, ATC | 1518238757 |
| JORDAN OBERBRECKLING | ATC, LAT | 1194147975 |
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.