Provider Demographics
NPI:1972151934
Name:RUSH, COURTNEY LAVONE
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:LAVONE
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 1:890 W MATTIE RD
Mailing Address - Street 2:
Mailing Address - City:CLEARVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15535-7539
Mailing Address - Country:US
Mailing Address - Phone:814-494-1723
Mailing Address - Fax:
Practice Address - Street 1:1045 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-7201
Practice Address - Country:US
Practice Address - Phone:301-739-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant