Paul Rudebusch
Individual provider Active NPI Physical Therapist · Ortonville, MN
NPI 1003043795 · NPPES record last updated Jun 19, 2009
Key facts
- NPI
- 1003043795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2542 (MN)
- Practice address
- 820 Roy St
Ortonville, MN 56278-1138 - Phone
- (320) 839-4271
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2542 | MN | Yes |
Addresses
Primary practice location
820 Roy St
Ortonville, MN 56278-1138
Mailing address
410 30TH St NW
#101
Willmar, MN 56201-2346
Other providers in Ortonville, MN
- Kristen Pearson Ash
- Gregory J. Peterson
- Tabitha Radermacher
- Allan E Ross
- Robert S Ross
- Bradley Runia
- Safe Phone Inc
- Sanford Health Network
- Emma Simonson
- Leslie Smith
All providers in Ortonville, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.