Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANA JANE SOUDER, P.T.
Active Sole ProprietorDIANA JANE SOUDER, P.T. is a Physical Therapy Assistant healthcare provider located in BLOOMINGTON, Illinois. NPI 1790033306 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1790033306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2012 (13.960387339929 yrs)
- Last Updated
- Aug 29, 2012
- License
-
070.001913 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2200 EAST WASHINGTON STREESBLOOMINGTON, IL, 61701Browse IL providers · Browse ZIP 61701
- Phone
- 3096623311
- Fax
- 3098624754
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER SCOT BYERS | PT | 1053319392 |
| MICHAEL RAY SALAWAY | PT | 1467450627 |
| MR. NEIL J. ATKINS | MPT | 1467451450 |
| MS. KRISTA J. SHEPPARD | DPT | 1669471769 |
| JASON RODEGHERO | P.T. | 1427044486 |
| MR. BRYAN D JASKER | PT | 1447208806 |
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.