| Michelle Marie Rutherford, MOTR/L | |
|
7130 Crimson Ridge Dr, Rockford, IL 61107-6222 | |
| (815) 398-7792 | |
| Not Available |
| Full Name | Michelle Marie Rutherford |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 7130 Crimson Ridge Dr, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174815930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5753926 (Illinois) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871972653 PECOS PAC ID: 6507832573 Enrollment ID: O20150723009037 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Marie Rutherford, MOTR/L 884 Westport Dr, Rockledge, FL 32955-3566 Ph: () - | Michelle Marie Rutherford, MOTR/L 7130 Crimson Ridge Dr, Rockford, IL 61107-6222 Ph: (815) 398-7792 |
Jennifer Davidson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Laura Madlinger Lewis, OTD. OTR/L, CNT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-7000 | |
Carol Linkenheld, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Parkview Ave, Rockford, IL 61107 Phone: 815-399-8832 | |
Valarie Mcconville, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3057 N Perryville Rd, Rockford, IL 61114 Phone: 630-965-2225 | |
Kevin Adams, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498 | |
Ann Licari, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4123 Singleton Rd, Rockford, IL 61114 Phone: 815-978-4535 | |
Meghan La Marca, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 9th St, Rockford, IL 61104 Phone: 779-696-4470 |