Individual
ETHAN REKEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17210 KENYON AVE, LAKEVILLE, MN 55044-6903
(651) 968-5201
Mailing address
17210 KENYON AVE, LAKEVILLE, MN 55044-6903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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