Individual provider · Type 1 NPI
Casey Larae Ruckheim, NCTMB
Specialist · Parkers Prairie, MN
NPI number
1881810190
Active
Practice location
219 West Soo St, Suite 3
Parkers Prairie, MN 56361
Mailing address
50368 105th St
Parkers Prairie, MN 56361-4839
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1881810190
Casey Larae Ruckheim, NCTMB's National Provider Identifier is 1881810190, issued on Apr 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Parkers Prairie, MN. The record was last updated on Jul 8, 2007.