Individual
NADINE LYNN BLIXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
832 1ST ST STE 140, NASHWAUK, MN 55769-1245
(218) 885-1282
(218) 885-1471
Mailing address
832 1ST ST STE 140, NASHWAUK, MN 55769-1245
(218) 885-1282
(218) 885-1471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2418
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130020300
—
MN
01
—
C09346
MEDICARE
MN
Enumeration date
05/30/2019
Last updated
05/30/2019
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