Individual
MS. BETH ANN BUSHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1681 COMMERCE DR, NORTH MANKATO, MN 56003-1913
(507) 625-8017
(507) 625-2325
Mailing address
114 MERLIN CIR, MANKATO, MN 56001-5732
(507) 345-4360
(507) 625-2325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1573
MN
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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