Individual
MR. JEFFREY ALAN DONATELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15620 EDGEWOOD DR STE 240, BAXTER, MN 56401-6984
(218) 454-7012
(218) 454-7015
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8517
MN
2255A2300X
Athletic Trainer
949-039
WI
Other
Enumeration date
01/21/2008
Last updated
03/07/2022
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