MEDICARE: RITA WHITE 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
1	2251X0800X	Orthopedic Physical Therapist	9446	MN

General Provider Information

NPI Number	:	1205203650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RITA WHITE DPT

Provider Business Mailing Address
First Line	:	4250 DAHLBERG DR
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55422-4805
Country	:	US
Telephone Number	:	612-440-8455
Fax Number	:

Provider Business Practice Location Address
First Line	:	4250 DAHLBERG DR
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55422-4805
Country	:	US
Telephone Number	:	612-440-8455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2015
Last Update Date	:	01/06/2026

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