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Dee Wayne Rutherford, LAT

Specialist/Technologist, Athletic Trainer in Lubbock, TX. Individual provider (NPI-1).

NPI number1265622690
StatusActive
Last updated in NPPESAug 1, 2007

Details

NPI
1265622690
Entity type
Individual (NPI-1)
Name
Dee Wayne Rutherford
Credential
LAT
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 1, 2007
Last updated
Aug 1, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT0969TXYes

Practice location

3211 47th St
Lubbock, TX 79413-4112

Phone 806-766-0705 · Fax 806-766-0509

Mailing address

4115 62nd Dr
Lubbock, TX 79413-5115

Phone 806-766-0705 · Fax 806-766-0509

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Athletic Trainer providers in Lubbock, TX

All 108 Athletic Trainer providers in Lubbock · All 7,272 providers in Lubbock

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