Provider Demographics
NPI:1245604065
Name:HUTH, GINA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:HUTH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:
Other - Last Name:RUGGIERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3770 8TH ST SW STE A
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-1048
Mailing Address - Country:US
Mailing Address - Phone:515-967-5025
Mailing Address - Fax:515-967-2360
Practice Address - Street 1:3770 8TH ST SW STE A
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-1048
Practice Address - Country:US
Practice Address - Phone:515-967-5025
Practice Address - Fax:515-967-2360
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA088510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist