Provider Demographics
NPI:1104189810
Name:RUSHING, TAMMI CRAIG (PT)
Entity Type:Individual
Prefix:MISS
First Name:TAMMI
Middle Name:CRAIG
Last Name:RUSHING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 PINEVILLE MATTHEWS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-8380
Mailing Address - Country:US
Mailing Address - Phone:704-824-2853
Mailing Address - Fax:
Practice Address - Street 1:7108 PINEVILLE MATTHEWS RD STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8380
Practice Address - Country:US
Practice Address - Phone:704-824-2853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP2886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist