Organization
RADTKE PHYSICAL THERAPY LTD. PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL F RADTKE PT (DIRECTOR/ADMINISTRATOR)
(218) 326-3300
Entity
Organization
Contact information
Practice address
9 WILLOW LN, GRAND RAPIDS, MN 55744-3938
(218) 326-3300
(218) 326-3400
Mailing address
9 WILLOW LN, GRAND RAPIDS, MN 55744-3938
(218) 326-3300
(218) 326-3400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48Q51RA
BLUE CROSS OF MN PROVIDER
MN
Enumeration date
06/23/2005
Last updated
08/22/2020
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