TYLER RUECKERT
NPI 1699571737
Student in an Organized Health Care Education/Training Program in Prior Lake, MN

Active since February 20, 2025
17249 WILDERNESS TRL SE, PRIOR LAKE, MN 55372(612) 281-7298 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tyler Rueckert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER RUECKERT (NPI 1699571737) is an individual student in an organized health care education/training program provider in Prior Lake, Minnesota and active in the NPI registry since February 2025.Information from the official NPPES registry record, last updated February 20, 2025.

NPPES Registry Identity

NPI1699571737
Entity TypeIndividualMale
Provider Legal NameTYLER RUECKERT
Location Address17249 WILDERNESS TRL SEPrior Lake, MN 55372-3382
Mailing Address17249 Wilderness Trl SePrior Lake, MN 55372-3382 · (612) 281-7298
Sole ProprietorNo
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
NPI 1699571737 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also Listed

Specialist/Technologist · Athletic Trainer

Taxonomy 2255A2300X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

17249 WILDERNESS TRL SE, Prior Lake, MN 55372

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699571737, enumerated as an "individual" on February 20, 2025.

The provider is located at 17249 WILDERNESS TRL SE PRIOR LAKE, MN 55372 and the phone number is (612) 281-7298.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.