Dee Wayne Rutherford in Lubbock - Athletic Trainer

Dee Wayne Rutherford - NPI 1265622690

Dee Wayne Rutherford is a Athletic Trainer in Lubbock, Texas. Dee Wayne Rutherford practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Dee Wayne Rutherford is 1265622690. The last update date is 2007-08-01.

Dee Wayne Rutherford's current location address is 4115 62nd Dr, Lubbock, Texas. You can contact this provider via phone number 8067660705 and fax number 8067660509. The mailing address for Dee Wayne Rutherford is 4115 62nd Dr, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Dee Wayne Rutherford
Address 4115 62nd Dr, Lubbock, Texas
Phone Number 8067660705
Fax Number 8067660509
Sole Proprietor Y
Credentials LAT

NPI Number Detail

NPI Number 1265622690
Provider Enumeration Date 2007-08-01
Last Updated Date 2007-08-01

Provider Mailing Address Detail

Address 4115 62nd Dr
City Lubbock
State Texas (TX)
Post Code 794135115
Phone Number 8067660705
Fax Number 8067660509

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No AT0969
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22 TX PROVIDER

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FAQs about Dee Wayne Rutherford

What is the unique identifier code issued to Dee Wayne Rutherford by the Centers for Medicare & Medicaid Services (CMS)?

The Dee Wayne Rutherford has been assigned the NPI (National Provider Identifier) 1265622690. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Dee Wayne Rutherford's facilities are situated?

The facilities of Dee Wayne Rutherford are physically located at the following address: 4115 62Nd Dr, Lubbock, TX, 794135115.

What is the area of specialization for Dee Wayne Rutherford, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dee Wayne Rutherford is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.

On what date did the Dee Wayne Rutherford receive its 1265622690 assignment from the Centers for Medicare & Medicaid Services?

The Dee Wayne Rutherford was assigned its 1265622690 by the Centers for Medicare & Medicaid Services on 2007-08-01.

When was the Dee Wayne Rutherford's information last updated?

The Dee Wayne Rutherford's information was last updated on 2007-08-01.

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