Jessi Lee Fish
Individual provider Active NPI Day Training/Habilitation Specialist · Perham, MN
NPI 1649916115 · NPPES record last updated May 9, 2022
Key facts
- NPI
- 1649916115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 735 3Rd St SW
Perham, MN 56573-1152 - Phone
- (605) 271-2690
- NPI assigned
- May 9, 2022
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | MN | Yes |
Addresses
Primary practice location
735 3Rd St SW
Perham, MN 56573-1152
Mailing address
1105 W Russell St
Sioux Falls, SD 57104-1322
Other providers in Perham, MN
- Wanda Drewes
- East Ottertail Pharmacy
- Sadie Mae Ellenberg
- Empowering Kids Perham
- Daisy Ewing
- Timothy Richard Fresonke
- Erin Carey Friedsam
- Mariah Geoghegan
- Sarah N Gillespie
- Brett Jon Glawe
All providers in Perham, MN · Day Training/Habilitation Specialist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2022. 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.