Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES CHARLES SOUKUP JR., LMT
Active Sole ProprietorMR. JAMES CHARLES SOUKUP JR., LMT is a Massage Therapist healthcare provider located in AURORA, Indiana. NPI 1720625155 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · AURORA, IN
Registration Details
- NPI Number
- 1720625155
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2019 (6.6790020052587 yrs)
- Last Updated
- Dec 4, 2019
- License
-
MT21204228 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 4TH STAURORA, IN, 470011206Browse IN providers · Browse ZIP 47001
- Phone
- 8125608697
- Primary Specialty
-
Massage Therapist
225700000X
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.