NPI 1003607839

William Travis Rucker

Practitioner Peer Specialist Indianapolis, IN

Practice location

Address: 5525 Greenfield Ave, Indianapolis, IN 46219-7113
Phone: (317) 868-6944
Fax: (317) 868-6944

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Indiana →

Registry record

NPI: 1003607839
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2025
Record last updated: 13 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.