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NPI Code Detail

MEDICARE: DR. JOHN DAVID RUGOTZKE PT, DPT

MEDICARE:  DR. JOHN DAVID RUGOTZKE  PT, DPT
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
1225100000XPhysical Therapist11057-24WI

General Provider Information

NPI Number : 1386806255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN DAVID RUGOTZKE PT, DPT
Provider Business Mailing Address
First Line : 586 SHEPARD ST
Second Line :
City : RHINELANDER
State : WI
Zip : 54501-3552
Country : US
Telephone Number : 715-365-5252
Fax Number : 715-365-5258
Provider Business Practice Location Address
First Line : 586 SHEPARD ST
Second Line :
City : RHINELANDER
State : WI
Zip : 54501-3552
Country : US
Telephone Number : 715-365-5252
Fax Number : 715-365-5258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 08/10/2009

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Directions to “ DR. JOHN DAVID RUGOTZKE PT, DPT” Practice Location

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