Emily Kubesh, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Litchfield, MN

NPI 1306336094 · NPPES record last updated May 17, 2018

Key facts

NPI
1306336094
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
10845 (MN)
Practice address
612 S Sibley Ave
Litchfield, MN 55355-3340
Phone
(320) 693-4528
Fax
(320) 693-4561
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 10845 MN Yes

Addresses

Primary practice location

612 S Sibley Ave
Litchfield, MN 55355-3340

Mailing address

612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 693-4528

Other identifiers

IdentifierTypeStateIssuer
10845OtherMNMINNESOTA DHS

Other providers in Litchfield, MN

All providers in Litchfield, MN · Orthopedic Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.