Kyle Rudderow
Kyle Rudderow is a Physical Therapy Assistant in Sebastopol, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
100 Pleasant Hill Ave NSebastopol, CA 95472-3104
Phone: (707) 829-3282
Fax: (707) 829-3287
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA47987 (CA) |
|---|
Record details
| NPI number | 1477200962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 4, 2022 |
| Last updated in NPPES | March 4, 2022 |
| Certification date | March 4, 2022 |
| Mailing address | 100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104 |
Other providers in Sebastopol
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Misty Renae Black, PTA
100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104 · (707) 829-3282
-
Mrs. Holly Ann Matticola, PTA
100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104 · (707) 829-3282