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NPI Code Detail

MEDICARE: JASELYN MCREAKEN DPT

MEDICARE: JASELYN MCREAKEN 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 Therapist13390MN

General Provider Information

NPI Number : 1154284495
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASELYN MCREAKEN DPT
Provider Business Mailing Address
First Line : 1590 GRAY FOX DR NE
Second Line :
City : OWATONNA
State : MN
Zip : 55060-3975
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 1ST DR NW
Second Line :
City : AUSTIN
State : MN
Zip : 55912-2941
Country : US
Telephone Number : 507-668-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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Directions to “ JASELYN MCREAKEN DPT” Practice Location

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