Roderick Laine Youngdahl, PT

NPI #1821193681 in Chaska, Minnesota

Provider Information

NPI Number: 1821193681
Entity Type: Individual
Name: Roderick Laine Youngdahl, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 14, 2006
Last Updated: Jun 8, 2022

Practice Location

Address: 111 HUNDERTMARK RD STE 240
City: Chaska
State: Minnesota
ZIP Code: 55318-1198
Phone: (952) 456-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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