Provider Demographics
NPI:1023718665
Name:BURFEIND, CHELSEA
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:BURFEIND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 2ND STREET NORTH
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MINNESOTA
Mailing Address - Zip Code:55371
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1250 NORTLAND DRIVE (AEGIS THERAPIES)
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MINNESOTA
Practice Address - Zip Code:55371
Practice Address - Country:UM
Practice Address - Phone:763-389-8655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-02
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN105551208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation