Healthcare Provider Details

I. General information

NPI: 1144134842
Provider Name (Legal Business Name): AUBREY LYNN RUXER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 3RD AVE
JASPER IN
47546-3602
US

IV. Provider business mailing address

20690 N DILGER RD
SAINT MEINRAD IN
47577-9617
US

V. Phone/Fax

Practice location:
  • Phone: 812-351-1490
  • Fax:
Mailing address:
  • Phone: 812-686-2732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: