DALLAS RUDD NPI 1740726611

NPI Information

NPI: 1740726611
Provider Name: DALLAS RUDD
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
202 S WASHITA AVE
WYNNEWOOD, OK
ZIP 73098
Phone: (405) 665-4385
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Dallas Rudd is a rehabilitation practitioner in Wynnewood, OK. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Dallas Rudd NPI is 1740726611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 S WASHITA AVE
WYNNEWOOD, OK
ZIP 73098-820
Phone: (405) 665-4385

The enumeration date for this NPI number is 1/16/2017 and was last updated on 1/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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