Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY J SOUKUP, PT
ActiveMR. KELLY J SOUKUP, PT is a Physical Therapy Assistant healthcare provider located in BURNSVILLE, Minnesota. NPI 1669419610 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BURNSVILLE, MN
Registration Details
- NPI Number
- 1669419610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2006 (20.061474002375 yrs)
- Last Updated
- Apr 20, 2011
- License
-
7269 (MN)
Practice Information
- Address
-
1000 W 140TH STSUITE 202BURNSVILLE, MN, 553374480Browse MN providers · Browse ZIP 55337
- Phone
- 9528083052
- Fax
- 9528462202
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BURNSVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| DORI C. BROWN | MPT | 1316943368 |
| TRUDY K. FREDIN | PT | 1487650438 |
| JEAN JENTZ | PT | 1003871096 |
| REBECCA ANN REES | PT | 1871550376 |
| CYNTHIA K DEVRIES | PT | 1578516753 |
| DAVID J FILZEN | PT | 1043266125 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.