Individual
DR. CHRISTINA MARIE RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PA-C
Contact information
Practice address
302 S 1ST AVE, SANDPOINT, ID 83864-1258
(208) 263-5109
Mailing address
14 ROSS RD, SANDPOINT, ID 83864-6366
(208) 290-2856
(208) 290-2856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-1097
ID
225100000X
Physical Therapist
PT00007582
WA
225100000X
Physical Therapist
PT63869
OR
225100000X
Physical Therapist
RPT-1097
ID
363A00000X
Physician Assistant
Primary
PA-1994
ID
363A00000X
Physician Assistant
PA190463
OR
363A00000X
Physician Assistant
PA60896309
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010140548
REGENCE
ID
05
—
1780731786
—
ID
01
—
610394500
US DEPT. OF LABOR
ID
01
—
870721965
STATE INSURANCE FUND
ID
01
—
P00306612
RAILROAD MEDICARE
ID
01
—
TD058
BLUE CROSS OF IDAHO
ID
Enumeration date
01/04/2007
Last updated
07/29/2022
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