Individual
NATHANYAL M JACKLITCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0867
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0867
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6403628
MEDICA
—
01
—
65G73JA
BCBS
MN
01
—
HP43214
HEALTHPARTNERS
—
Enumeration date
04/27/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us