Burke Marshall Selbst, P.T.
Physical Therapist in Bend, OR. Individual provider (NPI-1).
NPI number1104874890
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1104874890
- Entity type
- Individual (NPI-1)
- Name
- Mr. Burke Marshall Selbst
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4042 | OR | Yes |
Practice location
1001 Sw Emkay Dr Ste 100Bend, OR 97702-3663
Phone 541-385-3344 · Fax 541-312-5256
Mailing address
1475 Nw Ithaca AveBend, OR 97701-2113
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