Individual
DYLAN THOMAS RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
206 HOSPITAL LN STE 100, PERRYVILLE, MO 63775-1382
(573) 339-5989
Mailing address
206 HOSPITAL LN STE 100, PERRYVILLE, MO 63775-1382
(573) 339-5989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019001733
MO
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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