Individual
CHARLES RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
171 HERITAGE WAY, KALISPELL, MT 59901-3145
(406) 755-0800
Mailing address
171 HERITAGE WAY, KALISPELL, MT 59901-3145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-TMP-13084
MT
Other
Enumeration date
09/15/2017
Last updated
09/15/2017
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