MEDICARE: EMILY RUETH

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	235Z00000X	Speech-Language Pathologist	14117759	WI

General Provider Information

NPI Number	:	1699611541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY RUETH

Provider Business Mailing Address
First Line	:	2711 HICKORY DR
Second Line	:
City	:	PLOVER
State	:	WI
Zip	:	54467-2534
Country	:	US
Telephone Number	:	715-252-8810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 POLK ST
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-5875
Country	:	US
Telephone Number	:	715-345-5425
Fax Number	:

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

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ EMILY RUETH ” Practice Location

Language	Start Address	Practice Location

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