Mr. Jeffrey Alan Donatelle
Mr. Jeffrey Alan Donatelle is a Physical Therapist in Private Practice in Baxter, Minnesota. Qualified in 2010, 16 years ago. Practices with Big Stone Therapies Baxter, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.
- Years since qualifying
- 16
- Licensed in
- MN, WI
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
15620 Edgewood Dr Ste 240Baxter, MN 56401-6984
Phone: (218) 454-7012
Fax: (218) 454-7015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 8517 (MN) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 949-039 (WI) |
Record details
| NPI number | 1093991093 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 21, 2008 |
| Last updated in NPPES | March 7, 2022 |
| Certification date | March 7, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Big Stone Therapies Baxter, Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Baxter
-
Karie Montgomery, OTR/L
14387 Edgewood Dr, Baxter, MN 56425-8460 · (952) 544-0349