Organization
RUSH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN WAYNE RUSH D.C (DOCTOR OF CHIROPRACTIC/OWNER)
(417) 583-3065
Entity
Organization
Contact information
Practice address
7450 STATE HIGHWAY 14 W, BILLINGS, MO 65610-9489
(417) 583-3065
(417) 583-3064
Mailing address
PO BOX 64, CLEVER, MO 65631-0064
(417) 583-3065
(417) 583-3064
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2015014359
MO
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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