Provider Demographics
NPI:1316714801
Name:RUF, DANIELLE (DC)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:RUF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19388 ARROWHEAD ST NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR
Mailing Address - State:MN
Mailing Address - Zip Code:55011-9868
Mailing Address - Country:US
Mailing Address - Phone:763-218-4585
Mailing Address - Fax:
Practice Address - Street 1:19201 LAKE GEORGE BLVD STE C
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:MN
Practice Address - Zip Code:55303-8482
Practice Address - Country:US
Practice Address - Phone:763-200-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7149111NP0017X, 111NN0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology