Provider Demographics
NPI:1639859770
Name:RUSH, TRACY
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:RUSH
Suffix:
Gender:F
Credentials:
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 393
Mailing Address - Street 2:
Mailing Address - City:GRANT TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26574-0393
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:202 BALLAH AVE
Practice Address - Street 2:
Practice Address - City:GRANTTOWN
Practice Address - State:WV
Practice Address - Zip Code:26574
Practice Address - Country:US
Practice Address - Phone:304-657-9093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant