SHANNON LEAH RUTZ

SPARTA, WI
NPI1528714300
Former NameSHANNON LEAH KVAPIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  9791-24)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
SHANNON LEAH RUTZ MPT
331 S WATER ST
SPARTA, WI 54656-1726
Phone number: 608-269-3168
Mailing Address
SHANNON LEAH RUTZ MPT
1616 HICKORY ST
ONALASKA, WI 54650-3131
Phone number: 715-575-3475