Individual
MS. ELIZABETH RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1934 NW 45TH AVE, GAINESVILLE, FL 32605-1316
(352) 870-8686
Mailing address
1934 NW 45TH AVE, GAINESVILLE, FL 32605-1316
(352) 870-8686
(352) 271-0001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0005453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7973
BCBS PROVIDER #
FL
01
—
MA0005453
LICENSE NUMBER
FL
Enumeration date
07/26/2006
Last updated
02/16/2023
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