Individual
JONATHAN WASHATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
14451 GRAND AVE, BURNSVILLE, MN 55306
(952) 993-5900
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13446
MN
225100000X
Physical Therapist
2305210883
VA
2251S0007X
Sports Physical Therapist
2305210883
VA
2251X0800X
Orthopedic Physical Therapist
2305210883
VA
Other
Enumeration date
02/23/2017
Last updated
08/19/2025
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