Douglas Radtke, LMT, BCTMB

NPI #1407396013 in Mount Pleasant, Wisconsin

Provider Information

NPI Number: 1407396013
Entity Type: Individual
Name: Douglas Radtke, LMT, BCTMB
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prevention Professional
Credential: LMT, BCTMB
Enumeration Date: Mar 1, 2017
Last Updated: Mar 1, 2017

Practice Location

Address: 6233 BANKERS RD
Address 2: SUITE 12
City: Mount Pleasant
State: Wisconsin
ZIP Code: 53403-9700
Phone: (262) 358-6730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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