Individual
LYNN BOWMAN BATHKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10721 SMETANA RD, STE 202, MINNETONKA, MN 55343-8080
(952) 936-9215
(952) 936-9942
Mailing address
5224 12TH AVE S, MINNEAPOLIS, MN 55417-1836
(612) 824-6573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1142
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00850BA
BC/BS
MN
01
—
6413709
MEDICA
MN
01
—
HP31021
HEALTHPARTNERS
MN
Enumeration date
11/10/2005
Last updated
07/08/2007
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