Provider Demographics
NPI:1275760290
Name:ADELE, RUTH (ND)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:ADELE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 W. UINTAH ST.
Mailing Address - Street 2:STE. I
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904
Mailing Address - Country:US
Mailing Address - Phone:719-636-0098
Mailing Address - Fax:
Practice Address - Street 1:1625 W UINTAH ST
Practice Address - Street 2:STE. I
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-5900
Practice Address - Country:US
Practice Address - Phone:719-636-0098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA442175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath