Individual
NATHAN HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 HIGHWAY 52 N, ROCHESTER, MN 55901-7657
(507) 429-3624
Mailing address
3340 PORTAGE CIR NW, ROCHESTER, MN 55901-5689
(612) 756-4605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A2215
MN
225200000X
Physical Therapy Assistant
Primary
A2240
MN
Other
Enumeration date
06/10/2019
Last updated
07/28/2021
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