Provider Demographics
NPI:1770656712
Name:RUETZ, SYLVIA L (PT)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:L
Last Name:RUETZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2440 FOGGY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-2612
Mailing Address - Country:US
Mailing Address - Phone:727-365-6220
Mailing Address - Fax:727-585-8244
Practice Address - Street 1:2440 FOGGY CREEK CIR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-2612
Practice Address - Country:US
Practice Address - Phone:727-584-0053
Practice Address - Fax:727-585-8244
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL70832251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6729YMedicare ID - Type Unspecified