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Contact Information

JASON L RUCKER, PT
3901 RAINBOW BLVD
MAIL STOP 2002
KANSAS CITY, KS66103-2937
 Phone: 913-588-6785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JASON L RUCKER · (Male)

NPI Number 1972882280
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 08/04/2011
Last updated 08/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 11-03585
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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