Ruth A. Haugan, ATC

Individual provider Active NPI Athletic Trainer · Tupelo, MS

NPI 1144205774 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1144205774
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT0379 (MS)
Practice address
4381 S Eason Blvd
Longtown Medical Park - Orc
Tupelo, MS 38801-6583
Phone
(662) 377-5468
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT0379MSMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT0379 MS Yes

Addresses

Primary practice location

4381 S Eason Blvd
Longtown Medical Park - Orc
Tupelo, MS 38801-6583

Mailing address

119 Stanford Dr
Apt. 16-B
Saltillo, MS 38866-5712
Phone (662) 844-2241

Other providers in Tupelo, MS

All providers in Tupelo, MS · Athletic Trainer in Mississippi

Sources for this page

Verify at the official NPI Registry.