Provider Demographics
NPI:1467707786
Name:RUFF, RICHARD THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:RUFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 S 700 E
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-1808
Mailing Address - Country:US
Mailing Address - Phone:801-592-4955
Mailing Address - Fax:801-508-2981
Practice Address - Street 1:8706 S 700 E
Practice Address - Street 2:SUITE 103
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-1808
Practice Address - Country:US
Practice Address - Phone:801-592-4955
Practice Address - Fax:801-508-2981
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8644440-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor