Individual
TARA RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 WESTVIEW DR APT 114, WEST SAINT PAUL, MN 55118-4513
(218) 398-7646
Mailing address
255 WESTVIEW DR APT 114, WEST SAINT PAUL, MN 55118-4513
(218) 398-7646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2102096
TX
225200000X
Physical Therapy Assistant
A1757
MN
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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