Provider Demographics
NPI:1346949286
Name:RUEHMEIER, JODIE LEE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JODIE
Middle Name:LEE
Last Name:RUEHMEIER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-9766
Mailing Address - Country:US
Mailing Address - Phone:231-652-3887
Mailing Address - Fax:231-652-3346
Practice Address - Street 1:585 FREMONT ST
Practice Address - Street 2:
Practice Address - City:NEWAYGO
Practice Address - State:MI
Practice Address - Zip Code:49337-9766
Practice Address - Country:US
Practice Address - Phone:231-652-3887
Practice Address - Fax:231-652-3346
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics