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NPI Code Detail

MEDICARE: AMBER RUSK

MEDICARE: AMBER RUSK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant7935AZ

General Provider Information

NPI Number : 1619138815
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER RUSK
Provider Business Mailing Address
First Line : 1919 W MEDICAL ST
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 W MEDICAL ST
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1133
Country : US
Telephone Number : 520-291-8311
Fax Number : 520-219-7249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 06/19/2008

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Directions to “ AMBER RUSK ” Practice Location

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