NPI 1073968558
Ericka Ruck, CTRSCBIS
Practice location
- Address
- 2301 N Lake Dr, Milwaukee, WI 53211-4508
- Phone
- (414) 585-6750
- Mailing address
- 1278 Mink Ranch Rd, Port Washington, WI 53074-9783
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1073968558
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 May 2016
- Record last updated
- 3 May 2016
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.