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NPI Code Detail

MEDICARE: DAWN LUTTEKE OTR/L

MEDICARE: DAWN LUTTEKE OTR/L
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
1225X00000XOccupational Therapist102326MN

General Provider Information

NPI Number : 1386441848
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN LUTTEKE OTR/L
Provider Business Mailing Address
First Line : 1230 E MAIN ST
Second Line :
City : MANKATO
State : MN
Zip : 56001-8001
Country : US
Telephone Number : 507-625-1811
Fax Number :
Provider Business Practice Location Address
First Line : 1575 LOOKOUT DR
Second Line :
City : NORTH MANKATO
State : MN
Zip : 56003-2503
Country : US
Telephone Number : 507-327-4726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 03/03/2025

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Directions to “ DAWN LUTTEKE OTR/L” Practice Location

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