Individual
ANTONIO RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA60582370
Contact information
Practice address
1007 SCOTT AVE, SUITE B, BREMERTON, WA 98310-4874
(360) 405-0293
Mailing address
6148 SW OLD CLIFTON RD, PORT ORCHARD, WA 98367-7422
(509) 499-8717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60582370
WA
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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