Provider Demographics
NPI:1538260062
Name:ECKHART, RHONDA (RPT)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:ECKHART
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:STEENSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20803 COUNTY ROAD 50
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55309-9389
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 PARK ST E
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:MN
Practice Address - Zip Code:55302-3060
Practice Address - Country:US
Practice Address - Phone:763-689-5385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4432225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP34778OtherHEALTH PARTNERS
MN725T2ECOtherBLUE CROSS BLUE SHIELD
MN6406148OtherMEDICA
MN6406148OtherMEDICA