Provider Demographics
NPI:1780446757
Name:RUTLAND, CAYLEE LAUREN
Entity type:Individual
Prefix:
First Name:CAYLEE
Middle Name:LAUREN
Last Name:RUTLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 SEATTLE SLEW DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-4126
Mailing Address - Country:US
Mailing Address - Phone:205-908-3228
Mailing Address - Fax:
Practice Address - Street 1:1934 SEATTLE SLEW DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AL
Practice Address - Zip Code:35080-4126
Practice Address - Country:US
Practice Address - Phone:205-908-3228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program