Provider Demographics
NPI:1841391067
Name:RUSHING-CARR, CAROL ANN (MOT, OTR/L, BCP, CIM)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:RUSHING-CARR
Suffix:
Gender:F
Credentials:MOT, OTR/L, BCP, CIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1328
Mailing Address - Country:US
Mailing Address - Phone:859-498-8647
Mailing Address - Fax:859-498-8677
Practice Address - Street 1:318 W HIGH ST
Practice Address - Street 2:
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1328
Practice Address - Country:US
Practice Address - Phone:859-498-8647
Practice Address - Fax:859-498-8677
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR0059225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics