Individual provider · Type 1 NPI

Isis Burakom Rutledge, LMT

Contractor · San Diego, CA

NPI number 1235372020 Active

Practice location

4520 Executive Dr, Ste 225
San Diego, CA 92121-3018

Mailing address

1220 Rosecrans St, #120
San Diego, CA 92106-2674

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000X4969 (CO)
Contractor Primary 171W00000X68684 (CA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1235372020

Isis Burakom Rutledge, LMT's National Provider Identifier is 1235372020, issued on Apr 9, 2009. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 11, 2016.