Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathanyal M Jacklitch, MPT

Individual provider Physical Therapist · NPI 1093772881

Nathanyal M Jacklitch, MPT is a Physical Therapist in Golden Valley, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

3915 Golden Valley Road Courage Ctr
Golden Valley, MN 55422-4298
Phone: (763) 520-0867
Fax: (763) 520-0355
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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 7056 (MN)

Record details

NPI number1093772881
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESJuly 13, 2026

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