Emily Gutfleisch

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

105637 Issued in MN

Practice address

4002 London Rd
Duluth, MN 55804-2243

Phone

(218) 625-7100

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1043791056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E 1ST ST APT 2",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123729",
            "telephone_number": "612-242-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042243",
            "telephone_number": "218-625-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTFLEISCH",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MN",
            "license": "105637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benita Gusaas-Goodwin, MSW, LICSW
• Bonnie M Gustafson, APRN, CNP
• Emily Gustafson, DNP-FNP
• Felicia Marie Gustafson, BEHAVIORAL TECH
• Rebel K Gustafson, MSW, LICSW
• Camryn Haak
• Isabelle Haakonson
• Tara Haakonson, PHARMD
• Steven James Haasken, M.D.
• Lisa Marlene Haberling, LICSW

• Physical Rehabilitation Occupational Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Physical Rehabilitation Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.