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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NATHANYAL M JACKLITCH, MPT

Active

NATHANYAL M JACKLITCH, MPT is a Physical Therapy Assistant healthcare provider located in GOLDEN VALLEY, Minnesota. NPI 1093772881 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GOLDEN VALLEY, MN

Registration Details

NPI Number
1093772881
Provider Type
Individual
Gender
Male
NPI Issued
Apr 27, 2006 (20.272677309926 yrs)
Last Updated
Jul 8, 2007
License
7056 (MN)

Practice Information

Address
3915 GOLDEN VALLEY ROAD
COURAGE CENTER
GOLDEN VALLEY, MN, 554224298
Browse MN providers · Browse ZIP 55422
Phone
7635200867
Fax
7635200355
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GOLDEN VALLEY, MN

Name Credential NPI
MRS. KAREN RAE HOFFNER PT 1326015488
NICOLE B LABERGE PT 1154384659
RACHEL NORITA KATH-DVORAK PT 1740243666
MARIALENA I DUFAULT PT 1366408114
COLLEEN M MICHALS PT 1871550608
HEATHER MARIE PARTLOW PT 1811954639
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.