Robert Kelly Bush, BCTMB is a
Massage Therapist based in Oak Park, California. Robert Kelly Bush is licensed to practice in California (license number 38642) and his current practice location is
465 Savona Way, Oak Park, California. He can be reached at his office (for appointments etc.) via phone at
(805) 405-1883.
NPI number for Robert Kelly Bush is 1366834848 and his current mailing address is 465 Savona Way, Oak Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366834848.
Healthcare Provider's Profile
| Full Name | Robert Kelly Bush |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
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| Location | 465 Savona Way, Oak Park, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366834848
- Provider Enumeration Date: 02/20/2015
- Last Update Date: 02/20/2015
Medical Identifiers
Medical identifiers for Robert Kelly Bush such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366834848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 38642 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Kelly Bush is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Kelly Bush, BCTMB
465 Savona Way,
Oak Park, CA 91377-4842
Ph: () - | Robert Kelly Bush, BCTMB
465 Savona Way,
Oak Park, CA 91377-4842
Ph: (805) 405-1883 |
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