MEDICARE: IZABEL RUTZ

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
1	106S00000X	Behavior Technician	BACB1511199	MI

General Provider Information

NPI Number	:	1215888409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IZABEL RUTZ

Provider Business Mailing Address
First Line	:	13645 BECKWITH DR NE
Second Line	:
City	:	LOWELL
State	:	MI
Zip	:	49331-9365
Country	:	US
Telephone Number	:	616-913-8042
Fax Number	:

Provider Business Practice Location Address
First Line	:	13645 BECKWITH DR NE
Second Line	:
City	:	LOWELL
State	:	MI
Zip	:	49331-9365
Country	:	US
Telephone Number	:	616-913-8042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ IZABEL RUTZ ” Practice Location

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