Whalio Doctors

NPI 1093991093

Jeffrey Alan Donatelle

Practitioner Physical Therapist Baxter, MN

Practice location

Address
15620 Edgewood Dr STE 240, Baxter, MN 56401-6984
Phone
(218) 454-7012
Fax
(218) 454-7015
Mailing address
500 Cross St, Big Stone City, SD 57216-8237

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 8517 (MN)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 949-039 (WI)

Registry record

NPI
1093991093
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jan 2008
Record last updated
7 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.