Individual
MICHELLE RUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 2600 S, BOUNTIFUL, UT 84010-7716
(801) 295-3135
Mailing address
460 W 2600 S, BOUNTIFUL, UT 84010-7716
(801) 295-3135
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
11029148-4003
UT
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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