Provider Demographics
NPI:1386853521
Name:RUTZ, KATHRYN HILL (PT PHYSICAL THERAPIS)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:HILL
Last Name:RUTZ
Suffix:
Gender:F
Credentials:PT PHYSICAL THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:487 POWERS RD
Mailing Address - Street 2:
Mailing Address - City:KING FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:13081
Mailing Address - Country:US
Mailing Address - Phone:315-364-9733
Mailing Address - Fax:
Practice Address - Street 1:2230 N TRIPHAMMER RD
Practice Address - Street 2:KENDAL AT ITHACA
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1539
Practice Address - Country:US
Practice Address - Phone:607-266-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0071781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist