Provider Demographics
NPI:1811423791
Name:RUFFE, NATALIE JAMES
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JAMES
Last Name:RUFFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 AGATE ST APT B
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-1279
Mailing Address - Country:US
Mailing Address - Phone:541-326-8757
Mailing Address - Fax:
Practice Address - Street 1:1013 AGATE ST APT B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-1279
Practice Address - Country:US
Practice Address - Phone:541-326-8757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist