Provider Demographics
NPI:1841559408
Name:BUSCHE, KELSEY D (PT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:D
Last Name:BUSCHE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3009 NEW BERN AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1214
Mailing Address - Country:US
Mailing Address - Phone:919-232-5020
Mailing Address - Fax:919-232-5021
Practice Address - Street 1:212 ASHVILLE AVE
Practice Address - Street 2:SUITE 30
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6669
Practice Address - Country:US
Practice Address - Phone:919-235-0616
Practice Address - Fax:919-235-0610
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP133732251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic