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NPI Code Detail

MEDICARE: MRS. CHELSEY RUFF ATC

MEDICARE:  MRS. CHELSEY  RUFF  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer1065SC

General Provider Information

NPI Number : 1053720680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHELSEY RUFF ATC
Provider Business Mailing Address
First Line : 810 BELTLINE BLVD
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-2063
Country : US
Telephone Number : 210-410-2443
Fax Number :
Provider Business Practice Location Address
First Line : 810 BELTLINE BLVD
Second Line :
City : COLUMBIA
State : SC
Zip : 29205-2063
Country : US
Telephone Number : 210-410-2443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2014
Last Update Date : 08/07/2014

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Directions to “ MRS. CHELSEY RUFF ATC” Practice Location

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