Individual provider · Type 1 NPI

William Travis Rucker Sr.

Peer Specialist · Indianapolis, IN

NPI number 1003607839 Active

Practice location

5525 Greenfield Ave
Indianapolis, IN 46219-7113

Call (317) 868-6944 Map

Fax (317) 868-6944

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1003607839

William Travis Rucker Sr.'s National Provider Identifier is 1003607839, issued on May 13, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Indianapolis, IN. The record was last updated on May 13, 2025.