Individual provider · Type 1 NPI
Nadatha Shenade Rutz
Peer Specialist · Mountain Grove, MO
NPI number
1972449296
Active
Practice location
9871 E 20th St
Mountain Grove, MO 65711-2944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
About NPI 1972449296
Nadatha Shenade Rutz's National Provider Identifier is 1972449296, issued on Apr 28, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mountain Grove, MO. The record was last updated on Apr 28, 2026.