Individual provider · Type 1 NPI

Tyler Rueckert

Student in an Organized Health Care Education/Training Program · Prior Lake, MN

NPI number 1699571737 Active

Practice location

17249 Wilderness Trl SE
Prior Lake, MN 55372-3382

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699571737

Tyler Rueckert's National Provider Identifier is 1699571737, issued on Feb 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Prior Lake, MN. The record was last updated on Feb 20, 2025.