| NPI | 1063231017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE STEVEN RADTKE Owner Of Omnia Wellness And Recover 320-491-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |