Nadine Lynn Blixt, PTA
Individual provider Active NPI Physical Therapy Assistant · Nashwauk, MN
NPI 1932767597 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1932767597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A2418 (MN)
- Practice address
- 832 1St St Ste 140
Nashwauk, MN 55769-1245 - Phone
- (218) 885-1282
- Fax
- (218) 885-1471
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2418 | MN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2418 | MN | Yes |
Addresses
Primary practice location
832 1St St Ste 140
Nashwauk, MN 55769-1245
Mailing address
832 1St St Ste 140
Nashwauk, MN 55769-1245
Phone (218) 885-1282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09346 | Other | MN | MEDICARE |
| 130020300 | Medicaid | MN |
Other providers in Nashwauk, MN
- Sara Terese Anderson
- Bob D Beliveau
- Michelle Carroll
- City of Nashwauk
- Melodee Gilbertson
- Curtiss A Hautala
- Haven Physical Therapy, Inc.
All providers in Nashwauk, MN · Physical Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2019. 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.