Organization Name: | RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP |
NPI Number: | 1174854350 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS CORRIGAN (VP, AUTHORIZED OFFICIAL) |
Mailing Address: | 1542 Golf Course Rd Suite 104 Grand Rapids |
State: | MN US |
Postal Code: | 557443555 |
Phone Number: | 2183263300 |
Fax Number: | 2183263400 |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |