Provider Demographics
NPI:1023739612
Name:BUSCH, EMILY L (PT, DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:L
Last Name:BUSCH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5718
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59903-5718
Mailing Address - Country:US
Mailing Address - Phone:406-756-0134
Mailing Address - Fax:403-300-1612
Practice Address - Street 1:2801 YOUNGFIELD ST STE 390
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2265
Practice Address - Country:US
Practice Address - Phone:720-458-6555
Practice Address - Fax:720-749-1387
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215384225100000X
COPTL.0019421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist