Healthcare Provider Details

I. General information

NPI: 1679480297
Provider Name (Legal Business Name): MONICA RUSH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 E BRADFORD PKWY STE 210-4
SPRINGFIELD MO
65804-6539
US

IV. Provider business mailing address

1110 E MELTON RD
OZARK MO
65721-6387
US

V. Phone/Fax

Practice location:
  • Phone: 417-881-9500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: