| Kevin Ruddy, | |
|
8800 Newcombe Trace Dr, Temperance, MI 48182-8817 | |
| (734) 790-0129 | |
| Not Available |
| Full Name | Kevin Ruddy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8800 Newcombe Trace Dr, Temperance, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356742555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501009987 (Michigan) | Secondary |
| 225100000X | Physical Therapist | PT.007222 (Ohio) | Primary |
| Provider Name | Mercy Health Physicians North Specialty Care LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210909001115 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Ruddy, 8800 Newcombe Trace Dr, Temperance, MI 48182-8817 Ph: (734) 790-0129 | Kevin Ruddy, 8800 Newcombe Trace Dr, Temperance, MI 48182-8817 Ph: (734) 790-0129 |
Kristen Spencer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 W Dean Rd, Temperance, MI 48182 Phone: 734-850-0129 |
Jessica L Bronkema, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11080 Pine View Ln, Temperance, MI 48182 Phone: 734-856-8199 |
Accelerated Rehabilitation Centers, Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6654 Lewis Ave, Temperance, MI 48182 Phone: 734-847-1295 |
Rebecca Ullery, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 951 Hickory Creek Dr, Temperance, MI 48182 Phone: 734-206-8200 Fax: 734-847-4682 |
Mitchell Huss, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6654 Lewis Ave, Temperance, MI 48182 Phone: 734-847-1295 Fax: 734-847-1296 |
Julie Elizabeth Burger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 951 Hickory Creek Dr, Temperance, MI 48182 Phone: 734-206-8200 |
Jared Kinney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6654 Lewis Ave, Temperance, MI 48182 Phone: 734-847-1295 Fax: 734-847-1296 |