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NPI Code Detail

MEDICARE: STACIE RUSKELL

MEDICARE: STACIE RUSKELL
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 Therapist6798MN

General Provider Information

NPI Number : 1831039577
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE RUSKELL
Provider Business Mailing Address
First Line : 1410 BUNDY BLVD
Second Line :
City : WINONA
State : MN
Zip : 55987-6300
Country : US
Telephone Number : 507-452-1200
Fax Number :
Provider Business Practice Location Address
First Line : 1410 BUNDY BLVD
Second Line :
City : WINONA
State : MN
Zip : 55987-6300
Country : US
Telephone Number : 507-452-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ STACIE RUSKELL ” 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.

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