| Doctor Name: | ALISON RUCKER |
| NPI Number: | 1649651175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 002222 |
| Business Practice Address: | 2451 Coral Ct Ste 1 Coralville, IA - 522412837 |
| Business Phone Number: | 3198530596 |
| Business Fax Number: | 3198530983 |
| Mailing Address: | Po Box 4028, ROCK ISLAND |
| State: | IL |
| Postal Code: | 612044028 |
| Phone Number: | 5633559200 |
| Fax Number: | 5633553419 |
| NPI Enumeration Date: | 06/10/2015 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 002222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |