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NPI Code Detail

MEDICARE: MEGHAN MARY RIETSCHEL PT

MEDICARE: MEGHAN MARY RIETSCHEL PT
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 Therapist6796MN

General Provider Information

NPI Number : 1578678181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN MARY RIETSCHEL PT
Provider Business Mailing Address
First Line : 4165 146TH AVE NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3185
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7455 VILLAGE DR
Second Line :
City : LINO LAKES
State : MN
Zip : 55014-1181
Country : US
Telephone Number : 651-717-3480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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Directions to “ MEGHAN MARY RIETSCHEL PT” Practice Location

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