Provider Demographics
NPI:1063507564
Name:RUSHLOW, ANN L (PTA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:L
Last Name:RUSHLOW
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:HIGGINS LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48627
Mailing Address - Country:US
Mailing Address - Phone:989-821-0326
Mailing Address - Fax:
Practice Address - Street 1:9249 WEST LAKE CITY RD
Practice Address - Street 2:
Practice Address - City:HOUGHTON LAKE
Practice Address - State:MI
Practice Address - Zip Code:48629
Practice Address - Country:US
Practice Address - Phone:989-422-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant