MEDICARE: MICA RUTSCHKE OTR

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	225X00000X	Occupational Therapist	110994	TX

General Provider Information

NPI Number	:	1639985625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICA RUTSCHKE OTR

Provider Business Mailing Address
First Line	:	803 EVIAN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-3578
Country	:	US
Telephone Number	:	480-259-6785
Fax Number	:

Provider Business Practice Location Address
First Line	:	9577 HUEBNER RD STE 4
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1688
Country	:	US
Telephone Number	:	210-228-0030
Fax Number	:

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

Provider Enumeration Date	:	12/05/2024
Last Update Date	:	12/05/2024

Similar Medicare Providers

1679515357 — DR. MELVIN LEE SHANLEY DDS
Practice Location Address:

4315 MOONLIGHT WAY , SUITE 101
SAN ANTONIO, TX
78230-1688

Practice Phone: 210-697-7377
Practice Fax: 210-697-7319

1609925064 — DR. CANDICE HENLEY OWENS D.D.S.
Practice Location Address:

4315 MOONLIGHT WAY , SUITE 101
SAN ANTONIO, TX
78230-1688

Practice Phone: 210-697-7377
Practice Fax:

1053446419 — MELVIN L SHANLEY DDS PA
Practice Location Address:

4315 MOONLIGHT WAY , SUITE 101
SAN ANTONIO, TX
78230-1688

Practice Phone: 210-697-7377
Practice Fax: 210-697-7319

1932922143 — KLAIRE NICOLE KENNEDY PT, DPT
Practice Location Address:

19787 IH 10 W STE 101
SAN ANTONIO, TX
78257-1688

Practice Phone: 210-423-3023
Practice Fax:

1376433821 — BHS PHYSICIANS NETWORK, INC
Practice Location Address:

19787 W INTERSTATE 10 STE 104
SAN ANTONIO, TX
78257-1688

Practice Phone: 210-545-7171
Practice Fax: 210-545-7176

1558344341 — THERESA CLARK WILLIAMSON PT
Practice Location Address:

1688 WILLOW ST , SUITE K
SAN JOSE, CA
95125

Practice Phone: 408-264-6643
Practice Fax: 408-264-6652

Directions to “ MICA RUTSCHKE OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.