DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATHERINE I WACKER P.T.

MEDICARE: KATHERINE I WACKER P.T.
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 TherapistTEMP 2346MN

General Provider Information

NPI Number : 1720285638
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE I WACKER P.T.
Provider Business Mailing Address
First Line : 1891 STATION PKWY NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3341
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1891 STATION PKWY NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3341
Country : US
Telephone Number : 763-755-4275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 06/18/2021

Similar Medicare Providers

1649903444 — ALLYSON HANSEN NYSTROM MA CCC-SLP
Practice Location Address:
1891 STATION PKWY NW
ANDOVER, MN
55304-3341
Practice Phone: 763-755-4275
Practice Fax:
1376629360 — LYNDA LEE PETERSON MA-CCC/SLP
Practice Location Address:
1891 STATION PKWY NW
ANDOVER, MN
55304-3341
Practice Phone: 763-755-4275
Practice Fax: 763-755-4261
1215154125 — MS. CLARICE AKIYO CHIKAZAWA OTR
Practice Location Address:
1891 STATION PKWY NW
ANDOVER, MN
55304-3341
Practice Phone: 763-755-4275
Practice Fax: 763-755-4261
1235357898 — MRS. KELLY HUNGASKI MS, CCC-SLP
Practice Location Address:
1891 STATION PKWY NW
ANDOVER, MN
55304-3341
Practice Phone: 763-755-4275
Practice Fax:
1164701074 — MS. KIMBERLEE B GROSS M.A., CCC
Practice Location Address:
1891 STATION PKWY NW
ANDOVER, MN
55304-3341
Practice Phone: 763-755-4275
Practice Fax: 763-755-4261
1801225685 — CASSANDRA WALD
Practice Location Address:
1891 STATION PKWY NW
ANDOVER, MN
55304-3341
Practice Phone: 763-755-4275
Practice Fax:

Directions to “ KATHERINE I WACKER P.T.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.