Provider Demographics
NPI:1407086747
Name:CONTRERAS, RUTCHEBETH (PT)
Entity Type:Individual
Prefix:
First Name:RUTCHEBETH
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 NORTH JASMINE COURT
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3370
Mailing Address - Country:US
Mailing Address - Phone:956-341-6978
Mailing Address - Fax:
Practice Address - Street 1:3511 N WARE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3370
Practice Address - Country:US
Practice Address - Phone:956-681-7486
Practice Address - Fax:956-668-7486
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10994222251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics