Organization
RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS CORRIGAN (VP, AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
1542 GOLF COURSE RD, SUITE 104, GRAND RAPIDS, MN 55744-3555
(218) 326-3300
(218) 326-3400
Mailing address
1542 GOLF COURSE RD, SUITE 104, GRAND RAPIDS, MN 55744-3555
(218) 326-3300
(218) 326-3400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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