IndividualActive
Ivan Ruiz, ORTHOTIST
NPI 1518167147 · Orthotist · Johns Creek, GA
Provider details
- NPI number
- 1518167147
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ORTHOTIST
- Sex
- Male
- Sole proprietor
- No
- License
- 51 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9690 Vantana Way
Johns Creek, GA 30022-6394
Phone: (404) 833-8737
Fax: (770) 751-0961
Approximate (ZIP-level) locationGet directions
Mailing address
12460 Crabapple Rd
Alpharetta, GA 30004-6602
Registry dates
- Enumerated
- 2007-07-22
- Last updated
- 2007-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.