Individual
MICHELLE K RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2532 LAUREN LN, KOKOMO, IN 46901
(765) 271-0585
Mailing address
2532 LAUREN LN, KOKOMO, IN 46901
(765) 271-0585
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
220004223A
IN
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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