Individual
DONNA R THAEMLITZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1530 ROWE AVE, WORTHINGTON, MN 56187-9700
(507) 372-2232
(507) 372-7326
Mailing address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4487
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10F22TH
BLUE CROSS BLUE SHIELD MN
MN
01
—
23402
SIOUX VALLEY HEALTH PLANS
MN
01
—
2434
AVERA HEALTH PLANS
MN
01
—
64-03579
MEDICA
MN
01
—
64-03861
MEDICA
MN
01
—
64-04221
MEDICA
MN
01
—
64-05340
MEDICA
MN
01
—
64-11147
MEDICA
MN
01
—
869313
ARAZ
MN
01
—
PT4487
DAKOTACARE
MN
Enumeration date
09/21/2005
Last updated
07/08/2007
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