Individual
JARED RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
315 S MAIN ST, NEW MADISON, OH 45346-9797
(937) 474-8026
Mailing address
408 BLUEBELL CT, ENGLEWOOD, OH 45315-7728
(937) 474-8026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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