Provider Demographics
NPI:1346049038
Name:RUSHIN, JAMES DONNELL II (LMT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DONNELL
Last Name:RUSHIN
Suffix:II
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69238 JOHN BENNETT RD
Mailing Address - Street 2:
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-3544
Mailing Address - Country:US
Mailing Address - Phone:985-328-1131
Mailing Address - Fax:
Practice Address - Street 1:500 DEER CROSS RD
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-3342
Practice Address - Country:US
Practice Address - Phone:985-328-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8779225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist