Ruth E Raeber
Individual provider Active NPI Developmental Therapist · Gillespie, IL
NPI 1396868055 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1396868055
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 10247 Columbey Dr
Gillespie, IL 62033-2250 - Phone
- (217) 839-4705
- Fax
- (217) 839-4705
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
10247 Columbey Dr
Gillespie, IL 62033-2250
Mailing address
PO Box 326
Jerseyville, IL 62052-0326
Phone (618) 946-0374
Other providers in Gillespie, IL
- Chris Philip Poirot
- Kristy Lynn Pollo
- Therese L Polo
- Propharm RX Inc
- Brian Lee Quarton
- Donna Rasmussen
- Jaimi Michelle Reid
- Julia Terese Ruckman
- Jessica Sams
- Angie Schuckenbrock
All providers in Gillespie, IL · Developmental Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.