Individual
KATRINA BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2515 NEWTON ST, JASPER, IN 47546-1329
(812) 482-1722
Mailing address
2515 NEWTON ST, JASPER, IN 47546-1329
(812) 482-1722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000656A
IN
Other
Enumeration date
10/23/2008
Last updated
09/08/2016
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