Patricia Kussatz

Individual provider Active NPI Personal Care Attendant · Morris, MN

NPI 1811063167 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1811063167
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
801 Nevada Ave
Morris, MN 56267-1865
Phone
(320) 589-4122
NPI assigned
Nov 28, 2006
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
Personal Care Attendant 3747P1801X MN Yes

Addresses

Primary practice location

801 Nevada Ave
Morris, MN 56267-1865

Mailing address

207 W 10TH St
Morris, MN 56267-1846
Phone (320) 589-4122

Other providers in Morris, MN

All providers in Morris, MN · Personal Care Attendant in Minnesota

Sources for this page

Verify at the official NPI Registry.