MATTHEW MARK RUECKERT

FAYETTE, IA
NPI1891811261
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IA  00375)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- MATTHEW MARK RUECKERT ATC
605 WASHINGTON ST
FAYETTE, IA 52142-9206
Phone number: 563-425-5364
Mailing Address
-- MATTHEW MARK RUECKERT ATC
701 JEFFERSON ST
WEST UNION, IA 52175-9553
Phone number: 563-422-6057
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