Provider Demographics
NPI:1831270149
Name:BUISKER, KARI JEAN (PT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:JEAN
Last Name:BUISKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-3348
Mailing Address - Country:US
Mailing Address - Phone:605-725-9900
Mailing Address - Fax:605-725-9902
Practice Address - Street 1:6 N ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-3348
Practice Address - Country:US
Practice Address - Phone:605-725-9900
Practice Address - Fax:605-725-9902
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1360225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4993612OtherBLUE CROSS BLUE SHIELD
SD9241236OtherDAKOTA CARE
SD5835870Medicaid
SDP00411782OtherPALMETTO GBA MEDICARE
SD9241236OtherDAKOTA CARE