Provider Demographics
NPI:1982450037
Name:QUARLES, RUSTI
Entity type:Individual
Prefix:
First Name:RUSTI
Middle Name:
Last Name:QUARLES
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 1:1603 22ND AVE N UNIT B
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-2344
Mailing Address - Country:US
Mailing Address - Phone:719-924-0270
Mailing Address - Fax:
Practice Address - Street 1:100 POWELL PL # 1441
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3622
Practice Address - Country:US
Practice Address - Phone:866-719-9611
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
Yes171400000XOther Service ProvidersHealth & Wellness Coach