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NPI Code Detail

MEDICARE: NATHANIEL JAMES RICHTER DPT

MEDICARE: NATHANIEL JAMES RICHTER DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1235060641
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL JAMES RICHTER DPT
Provider Business Mailing Address
First Line : 10407 FERNWOOD LN N
Second Line :
City : CHAMPLIN
State : MN
Zip : 55316-3162
Country : US
Telephone Number : 763-458-5338
Fax Number :
Provider Business Practice Location Address
First Line : 9555 UPLAND LN N
Second Line :
City : MAPLE GROVE
State : MN
Zip : 55369-4485
Country : US
Telephone Number : 952-831-8742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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