Doctor Name: | SHANE RUSHING |
NPI Number: | 1205108644 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, CSCS |
License Number: | 60261361 |
Business Practice Address: | 21009 76th Ave W Axis Physical Therapy Edmonds, WA - 980267126 |
Business Phone Number: | 4256722910 |
Business Fax Number: | 4257781872 |
Mailing Address: | 21009 76th Ave W, Axis Physical Therapy EDMONDS |
State: | WA |
Postal Code: | 980267126 |
Phone Number: | 4256722910 |
Fax Number: | 4257781872 |
NPI Enumeration Date: | 02/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 60261361 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |