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Mr. H. Ruffin Walden III, PT
Orthopedic Physical Therapist in Springfield, Illinois
NPI 1972703809

H. Ruffin Walden III is a Orthopedic Physical Therapist based in Springfield, IL and is specialized in Orthopedic. H. Ruffin Walden III practices in Springfield, IL and has the professional credentials of PT. The NPI Number for H. Ruffin Walden III is 1972703809 and holds a License No. 070-001474 (Illinois).

The current practice location address for H. Ruffin Walden III is 1301 S Koke Mill Rd, Springfield, IL and can be reached out via phone at 217-547-9100 and via fax at 217-547-9247.

Location: 1301 S Koke Mill Rd, Springfield, IL, 62791-9469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972703809
Provider Name
H. Ruffin Walden III
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1301 S Koke Mill Rd, Springfield, IL, 62791-9469
Phone Number
217-547-9100
Fax Number
217-547-9247
Provider Enumeration Date
07/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00769841 01 IL RAILROAD MEDICARE
916500 01 IL MEDICARE ID #
institution
Provider Business Practice Location Address Details
Address
1301 S Koke Mill Rd
City
Springfield
State
Illinois
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9247
person
Provider Business Mailing Address Details
Address
1301 S Koke Mill Rd
City
Springfield
State
Illinois
Zip
62711-9252
Phone Number
217-547-9100
Fax Number
217-547-9247
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
070-001474 (Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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