Provider Demographics
NPI:1962135145
Name:RUDZIK, ALYSSA LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:LYNN
Last Name:RUDZIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 COURT ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3405
Mailing Address - Country:US
Mailing Address - Phone:402-228-2777
Mailing Address - Fax:
Practice Address - Street 1:2526 COURT ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3405
Practice Address - Country:US
Practice Address - Phone:402-228-2777
Practice Address - Fax:402-228-2792
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor