Kyle Ruhde, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1765 Issued in MN

Practice address

645 Sunrise Dr
Somerset, WI 54025

Phone

(715) 312-0608

NPI assigned

Dec 3, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1710352653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6949 LAKEVIEW RD",
            "city": "SIREN",
            "state": "WI",
            "postal_code": "548729015",
            "telephone_number": "715-312-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SUNRISE DR",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "54025",
            "telephone_number": "715-312-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Pleasant View Ct",
            "address_purpose": "LOCATION",
            "city": "North Mankato",
            "state": "MN",
            "postal_code": "560034282",
            "country_code": "US",
            "telephone_number": "715-312-0608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6949 Lakeview Rd",
            "address_purpose": "LOCATION",
            "city": "Siren",
            "state": "WI",
            "postal_code": "548729015",
            "country_code": "US",
            "telephone_number": "715-312-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUHDE",
        "first_name": "KYLE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL SKI PATROL",
            "identifier": "232904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christopher Arlen Rud, DC
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• Amie R Rybacki, MPT
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• Mikayla Sanocki
• Terri Marie Satersmoen, MS CCC-SLP

• Athletic Trainer in Somerset, WI
• Providers in Somerset, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.