Provider Demographics
NPI:1134811284
Name:RUFF, KARI (ATR-BC)
Entity type:Individual
Prefix:MISS
First Name:KARI
Middle Name:
Last Name:RUFF
Suffix:
Gender:F
Credentials:ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2094 POWELL LN APT 4
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5337
Mailing Address - Country:US
Mailing Address - Phone:225-937-3436
Mailing Address - Fax:
Practice Address - Street 1:2094 POWELL LN APT 4
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5337
Practice Address - Country:US
Practice Address - Phone:225-937-3436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16-041221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist