NPI 1093991093
Jeffrey Alan Donatelle
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
Athletic Trainer
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.