Provider Demographics
NPI:1780650200
Name:RITTGERS, ROCHEL R (ATC)
Entity Type:Individual
Prefix:MS
First Name:ROCHEL
Middle Name:R
Last Name:RITTGERS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4480 AMESBURY DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-1807
Mailing Address - Country:US
Mailing Address - Phone:309-269-6989
Mailing Address - Fax:
Practice Address - Street 1:4480 AMESBURY DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-1807
Practice Address - Country:US
Practice Address - Phone:309-269-6989
Practice Address - Fax:888-643-3398
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL096000110174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist