Provider Demographics
NPI:1710151691
Name:RUSH-ROUNDS, BARBARA KAY (OTR)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:KAY
Last Name:RUSH-ROUNDS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6749 FULTON ST E
Mailing Address - Street 2:SUITE B 404
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-8101
Mailing Address - Country:US
Mailing Address - Phone:616-893-4819
Mailing Address - Fax:616-682-4816
Practice Address - Street 1:6749 FULTON ST E
Practice Address - Street 2:SUITE B 404
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-8101
Practice Address - Country:US
Practice Address - Phone:616-893-4819
Practice Address - Fax:616-682-4816
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201002002225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist