Bradie Lynn Nelk
Individual provider Active NPI Physical Therapist · Wheaton, MN
NPI 1811323611 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1811323611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9494 (MN)
- Practice address
- 1205 5TH Ave N
Wheaton, MN 56296-4500 - Phone
- (320) 563-8269
- Fax
- (320) 563-8175
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies, Inc | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9494 | MN | Yes |
Addresses
Primary practice location
1205 5TH Ave N
Wheaton, MN 56296-4500
Mailing address
309 Washington Ave
Ortonville, MN 56278-1357
Phone (320) 839-4271
Other providers in Wheaton, MN
- Michael Robert Marchetti
- Meritcare Wheaton Medical Center
- Minnewaska Community Homecare LLC
- Mitteness Chiropractic Clinic
- Paul M Mitteness
- Mary Peyton
- Prairie Acupuncture and Natural Healing Center, Inc.
- Ranney Furniture and Funeral, Inc.
- Michelle Barbara Rinke
- Sanford Health Network North
All providers in Wheaton, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.