# DR. CHRISTINA MARIE RUST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780731786
- **Gender:** F
- **Credential:** DPT, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT-1097 | ID | — |
| 225100000X | Physical Therapist | PT00007582 | WA | — |
| 225100000X | Physical Therapist | PT63869 | OR | — |
| 225100000X | Physical Therapist | RPT-1097 | ID | — |
| 363A00000X | Physician Assistant | PA-1994 | ID | Yes |
| 363A00000X | Physician Assistant | PA190463 | OR | — |
| 363A00000X | Physician Assistant | PA60896309 | WA | — |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 07/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010140548 | REGENCE | ID |
| 05 | — | 1780731786 | — | ID |
| 01 | — | 610394500 | US DEPT. OF LABOR | ID |
| 01 | — | 870721965 | STATE INSURANCE FUND | ID |
| 01 | — | P00306612 | RAILROAD MEDICARE | ID |
| 01 | — | TD058 | BLUE CROSS OF IDAHO | ID |