Mr. William Travis Rucker Sr.
Mr. William Travis Rucker Sr. is a Peer Specialist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2025
Practice location Address checks out
5525 Greenfield AveIndianapolis, IN 46219-7113
Phone: (317) 868-6944
Fax: (317) 868-6944
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (IN) |
|---|
Record details
| NPI number | 1003607839 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2025 |
| Last updated in NPPES | May 13, 2025 |
| Certification date | May 13, 2025 |
| Mailing address | 5525 Greenfield Ave, Indianapolis, IN 46219-7113 |
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