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Kelly Marie Ruscin-Feudo, PTA, ATC

Physical Therapy Assistant in Akron, OH. Individual provider (NPI-1).

NPI number1861696080
StatusActive
Last updated in NPPESJan 16, 2020

Details

NPI
1861696080
Entity type
Individual (NPI-1)
Name
Kelly Marie Ruscin-Feudo
Credential
PTA, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2007
Certification date
Jan 16, 2020
Last updated
Jan 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA011056OHYes
2255A2300X Specialist/Technologist, Athletic TrainerAT.002636OH

Practice location

215 W Bowery St
Akron, OH 44308-1069

Phone 440-543-2114

Mailing address

5715 Haverhill Ave
Parma, OH 44129-4221

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