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NPI 1407396013

IndividualActive

Douglas Radtke, LMT, BCTMB

NPI 1407396013 · Prevention Professional · Mount Pleasant, WI

Provider details

NPI number: 1407396013
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Credential: LMT, BCTMB
Sex: Male
Sole proprietor: Yes
License: 4994-146 (WI)

Practice location

6233 Bankers Rd

Suite 12

Mount Pleasant, WI 53403-9700

Phone: (262) 358-6730

More WI providers

Mailing address

6233 Bankers Rd

Mount Pleasant, WI 53403-9700

Registry dates

Enumerated: 2017-03-01
Last updated: 2017-03-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Douglas Radtke, LMT, BCTMB — NPI 1407396013, Mount Pleasant, WI | NPI Central