Unknown Ruddy

NPI 1700112182 · on the registry since 2009 · sole proprietor

Practice

Address: 4539 Woodgate Dr Ste A
Janesville, WI 53546
Phone: (608) 531-0079
Organisation at this address: Mikhaela Creekmore Llc
Your Genx Therapist Llc
Peace & Power Counseling Llc
D.R. Medical Rides Of Illinois
Wellness Physical Therapy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 175F00000X
175F00000X
Licence states on file: VT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin