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DOUGLAS RADTKE LMT, BCTMB
NPI 1407396013
Prevention Professional in Mount Pleasant, WI

Active since March 01, 2017
6233 BANKERS RD, SUITE 12, MOUNT PLEASANT, WI 53403(262) 358-6730 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Radtke Lmt, Bctmb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS RADTKE LMT, BCTMB (NPI 1407396013) is an individual prevention professional provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (4994-146) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1407396013
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameDOUGLAS RADTKECredential: LMT, BCTMB
Location Address6233 BANKERS RD, SUITE 12Mount Pleasant, WI 53403-9700
Mailing Address6233 Bankers Rd, Sitte 12Mount Pleasant, WI 53403-9700 · (262) 358-6730
Phone(262) 358-6730
Sole ProprietorYes
Enumeration DateMarch 1, 2017
✔ NPI 1407396013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in WI · 4994-146
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
6233 BANKERS RD, Mount Pleasant, WI 53403
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANKO PRPA MD LLC
Orthopaedic Surgery
6233 BANKERS RD, SUITE 11
MOUNT PLEASANT, WI 53403
Racine County (262) 456-1070
KALA C BARKER LPN
Licensed Practical Nurse
6233 BANKERS RD, SUITE 10
RACINE, WI 53403
Racine County (262) 549-6600
KIMBERLY A SCHWERDTFEGER NP
Nurse Practitioner
6233 BANKERS RD, SUITE 3
MOUNT PLEASANT, WI 53403
Racine County (262) 898-4400
EVA M AIELLO-LARRABEE RN
Registered Nurse (Addiction (Substance Use Disorder))
6233 BANKERS RD, NUMBER 10
RACINE, WI 53403
Racine County (262) 549-6600
TARA C NELSON LPN
Licensed Practical Nurse
6233 BANKERS RD, SUITE 10
RACINE, WI 53403
Racine County (262) 549-6600
MERIT DERMATOLOGY, S.C.
Dermatology
6233 BANKERS RD, SUITE 20
MOUNT PLEASANT, WI 53403
Racine County (262) 898-4400
CHRISTOPHER FANCHER SAC-IT
Counselor (Addiction (Substance Use Disorder))
6233 BANKERS RD, SUITE 10
RACINE, WI 53403
Racine County (262) 549-6600
SANAN LLC
Home Health
6233 BANKERS RD, SUITE 18-E
MOUNT PLEASANT, WI 53403
Racine County (262) 910-1391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Radtke's NPI number?

The NPI number for Douglas Radtke is 1407396013. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Where is Douglas Radtke located?

Douglas Radtke practices at 6233 Bankers Rd Suite 12, Mount Pleasant, WI 53403. The listed phone number is (262) 358-6730.

What is Douglas Radtke's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Douglas Radtke was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.