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Organization

CHRISTINA M RUST DPT & ASSOCIATES PC

Active
Other names
7BWell Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA MARIE RUST DPT, PA-C (OWNER/ PHYSICAL THERAPIST)
(208) 290-2856
Entity
Organization

Contact information

Practice address
801 PINE ST STE 2, SANDPOINT, ID 83864-1682
(208) 290-2856
(208) 290-2856
Mailing address
801 PINE ST STE 2, SANDPOINT, ID 83864-1682
(208) 290-2856
(208) 290-2856

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1097
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0200479
DEPT OF L&I WASHINGTON
WA
01
10510026
REGENCE OF IDAHO
ID
05
805048700
ID
01
DE6511
RAILROAD MEDICARE NUMBER
ID
01
TD058
BLUE CROSS IDAHO
ID
Enumeration date
03/29/2007
Last updated
04/26/2021
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