NPI 1205899473

Kelli Jo Rueckert, LATATC

Practitioner Athletic Trainer Decorah, IA

Practice location

Address: 901 Montgomery St, Decorah, IA 52101-2325
Phone: (563) 387-3031
Fax: (563) 387-3021
Mailing address: PO Box 80, Ossian, IA 52161-0080

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 00277 (IA)

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1205899473
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2006
Record last updated: 15 Dec 2022

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.