Shelley Busche, MSPT
Individual provider Active NPI Physical Therapist · Fairmont, MN
NPI 1407368459 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1407368459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5242 (MN)
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (507) 238-8196
- NPI assigned
- Oct 31, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5242 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5242 | MN | Yes |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbusche87598@ehrdirect.mayoclinicmsg.org |
Other providers in Fairmont, MN
- Brandon Leroy Burk
- Erik Burnison
- Burtis Chiropractic Center PA
- Scott P Burtis
- James P Busche
- Carlson Dental Office PA
- Fredrick D Carlson
- Paul F Carlson
- Center for Anesthesia Services, LLC
- Ingrid Chan
All providers in Fairmont, 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 Feb 3, 2021. 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.