Doctor Name: | LYNN BOWMAN BATHKE |
NPI Number: | 1194706739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1142 |
Business Practice Address: | 10721 Smetana Rd Ste 202 Minnetonka, MN - 553438080 |
Business Phone Number: | 9529369215 |
Business Fax Number: | 9529369942 |
Mailing Address: | 5224 12th Ave S, MINNEAPOLIS |
State: | MN |
Postal Code: | 554171836 |
Phone Number: | 6128246573 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |