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NPI Code Detail

MEDICARE: HEIDI RUGGIERO PTA

MEDICARE: HEIDI RUGGIERO PTA
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
1225200000XPhysical Therapy AssistantPTP-PTA-TMP-9374MT

General Provider Information

NPI Number : 1780052597
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI RUGGIERO PTA
Provider Business Mailing Address
First Line : 400 VETERANS DR
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-5505
Country : US
Telephone Number : 406-892-3256
Fax Number : 406-892-0143
Provider Business Practice Location Address
First Line : 400 VETERANS DR
Second Line :
City : COLUMBIA FALLS
State : MT
Zip : 59912-5505
Country : US
Telephone Number : 406-892-3256
Fax Number : 406-892-0143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2015
Last Update Date : 09/10/2015

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Directions to “ HEIDI RUGGIERO PTA” Practice Location

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