NPI 1073032512

Charles Rush, PTA

Practitioner Physical Therapy Assistant Kalispell, MT

Practice location

Address: 171 Heritage Way, Kalispell, MT 59901-3145
Phone: (406) 755-0800

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTP-PTA-TMP-13084 (MT)

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Registry record

NPI: 1073032512
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2017
Record last updated: 15 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.