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

Nicholas Lee Rudolph

Individual provider Physical Therapist · NPI 1104312834

Nicholas Lee Rudolph is a Physical Therapist in Waseca, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018

Practice location Address checks out

501 State St N
Waseca, MN 56093-2811
Phone: (507) 781-8261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6515 Barrie Rd Ste 100, Edina, MN 55435-2364 — (952) 922-5019
  • 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 — (651) 466-1950

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11207 (MN)

Record details

NPI number1104312834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing address320 22nd Ave Ne, Waseca, MN 56093-2670

Other providers in Waseca