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Contact Information

JONATHAN WASHATKA, PT, DPT, CSCS
14451 GRAND AVE
BURNSVILLE, MN55306
 Phone: 952-993-5900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JONATHAN WASHATKA · (Male)

NPI # 1679013619
Status Active
Credentials PT, DPT, CSCS
Entity Individual
Enumeration date 02/23/2017
Last updated 08/19/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 13446
  • VA License # 2305210883
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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