Bush, Traci Ann
Bush, Traci Ann is an individual health care provider with primary practice located at 3200 Grand Ave , Des Moines IA 50312-4104. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bush, Traci Ann can be contacted via phone (515) 271-1717.Contact Information
Primary practice address
3200 Grand Ave
Des Moines IA 50312-4104
Phone: (515) 271-1717
Fax: (515) 271-7185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 00542 | Iowa |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 02278 | Iowa |
Profile Details
| NPI number | 1306838297 |
|---|---|
| LBN Legal business name | Bush, Traci Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jun 15th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306838297 | NPPES |
| Alabama | MEDICAID | 0232967 | |
| Alabama | Other | 650012390 |
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