Provider Demographics
NPI:1710948922
Name:RUWE, JOLENE (ATC/L)
Entity Type:Individual
Prefix:MISS
First Name:JOLENE
Middle Name:
Last Name:RUWE
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10390 HOWARD RD
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-9511
Mailing Address - Country:US
Mailing Address - Phone:513-637-0644
Mailing Address - Fax:513-741-4712
Practice Address - Street 1:5616 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-7006
Practice Address - Country:US
Practice Address - Phone:513-741-4700
Practice Address - Fax:513-741-4712
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9929362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer