National Provider Identifier

Isabella Sage Ruthig

Isabella Sage Ruthig is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-1456.

NPI 1689343808Ithaca, NYAthletic Trainer

Profile Overview

NPI
1689343808
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
September 10, 2021
Last Updated
November 04, 2024

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7002

Phone: (607) 274-1456

Mailing Address

  • 107 Griffin Dr
  • Fayetteville, NY 13066-1923

Specialties

  • Athletic Trainer (2255A2300X)
  • Athletic Trainer (2255A2300X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1689343808
Entity Type
Individual
Last Name
Ruthig
First Name
Isabella
Middle Name
Sage
Mailing Street Address
107 Griffin Dr
Mailing City
Fayetteville
Mailing State
NY
Mailing ZIP Code
13066-1923
Mailing Country
US
Mailing Phone
(315) 350-8868
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7002
Practice Country
US
Practice Phone
(607) 274-1456
Enumeration Date
September 10, 2021
Last Updated
November 04, 2024
Sex
Female
Sole Proprietor
No
Certification Date
November 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X), Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)