Provider Demographics
NPI:1255187191
Name:RUSCO, ARICA AMIE
Entity type:Individual
Prefix:
First Name:ARICA
Middle Name:AMIE
Last Name:RUSCO
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 1:270 LANCER DR APT 266
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2155
Mailing Address - Country:US
Mailing Address - Phone:231-740-0698
Mailing Address - Fax:
Practice Address - Street 1:740 SOUTH LIMESTONE B301, 3RD FLOOR WING C LEXINGTON
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-475-0143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist