DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARY BUSH

MEDICARE: MARY BUSH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant553-19WI

General Provider Information

NPI Number : 1508972704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BUSH
Provider Business Mailing Address
First Line : N1961 SHORE DR
Second Line :
City : MARINETTE
State : WI
Zip : 54143-9213
Country : US
Telephone Number : 715-735-3982
Fax Number :
Provider Business Practice Location Address
First Line : 831 PINE BEACH RD
Second Line :
City : MARINETTE
State : WI
Zip : 54143-4225
Country : US
Telephone Number : 715-732-5796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1376546762 — AMERICAN LUTHERAN CHURCH-NORTHLAND LUTHERN SERVICES FOR THE ELDERLY, I
Practice Location Address:
831 PINE BEACH RD
MARINETTE, WI
54143-4225
Practice Phone: 715-732-0155
Practice Fax: 715-732-5899
1093728842 — STACY ROGALL
Practice Location Address:
831 PINE BEACH RD
MARINETTE, WI
54143-4225
Practice Phone: 715-732-5796
Practice Fax:
1639276397 — LINDA IMMEL
Practice Location Address:
831 PINE BEACH RD
MARINETTE, WI
54143-4225
Practice Phone: 715-732-5796
Practice Fax:
1457429185 — NORA ABEL
Practice Location Address:
831 PINE BEACH RD
MARINETTE, WI
54143-4225
Practice Phone: 715-732-5796
Practice Fax:
1629127139 — CECILIA BLOCH
Practice Location Address:
831 PINE BEACH RD
MARINETTE, WI
54143-4225
Practice Phone: 715-732-5796
Practice Fax:
1235289497 — ELIZABETH THORNTON
Practice Location Address:
831 PINE BEACH RD
MARINETTE, WI
54143-4225
Practice Phone: 715-732-5796
Practice Fax:

Directions to “ MARY BUSH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.