Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS LEE RUDOLPH
ActiveNICHOLAS LEE RUDOLPH is a Physical Therapy Assistant healthcare provider located in WASECA, Minnesota. NPI 1104312834 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WASECA, MN
Registration Details
- NPI Number
- 1104312834
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2018 (8.0850521131557 yrs)
- Last Updated
- Apr 19, 2021
- License
-
11207 (MN)
Practice Information
- Address
-
501 STATE ST NWASECA, MN, 560932811Browse MN providers · Browse ZIP 56093
- Phone
- 5077818261
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WASECA, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JOSHUA DOUGLAS BERNDT | PT | 1710498506 |
| KELSEY NICOLE RADDAWI | DPT | 1801307574 |
| ELIZABETH THON | DPT | 1053822734 |
| RYAN CRAIG BUCHELE | PT | 1265943914 |
| DR. REGAN MARIE KRIECHBAUM | D.P.T. | 1023520269 |
| STEPHANIE STRANDBERG | — | 1487246914 |
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.