Fregia Rucks, Kristi
Fregia Rucks, Kristi is an individual health care provider with primary practice located at 775 Pole Line Rd W , Twin Falls ID 83301-5814. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fregia Rucks, Kristi can be contacted via phone (208) 814-2570.Contact Information
Primary practice address
775 Pole Line Rd W
Twin Falls ID 83301-5814
Phone: (208) 814-2570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5353-024 | Wisconsin |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5360 | Idaho |
Profile Details
| NPI number | 1871659748 |
|---|---|
| LBN Legal business name | Fregia Rucks, Kristi |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jan 15th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871659748 | NPPES |
| Wisconsin | MEDICAID | 1871659748 | |
| Wisconsin | MEDICAID | 40267500 |
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