Provider Demographics
NPI:1386848026
Name:BUELL, RUTH ELAINE (OTR)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ELAINE
Last Name:BUELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 EAST LIBERTY ST.
Mailing Address - Street 2:P.O. BOX 578
Mailing Address - City:MAIZE
Mailing Address - State:KS
Mailing Address - Zip Code:67101-0578
Mailing Address - Country:US
Mailing Address - Phone:316-518-9279
Mailing Address - Fax:
Practice Address - Street 1:1202 EAST 23RD ST.
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502
Practice Address - Country:US
Practice Address - Phone:620-669-5241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00361225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist