Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED SOUKUP, L.P.T.
ActiveMR. FRED SOUKUP, L.P.T. is a Physical Therapy Assistant healthcare provider located in BRAINERD, Minnesota. NPI 1861688442 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRAINERD, MN
Registration Details
- NPI Number
- 1861688442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2007 (18.863563559153 yrs)
- Last Updated
- Sep 18, 2007
- License
-
5456 (MN)
Practice Information
- Address
-
1919 S 7TH STBRAINERD, MN, 564014523Browse MN providers · Browse ZIP 56401
- Phone
- 2188250913
- Fax
- 2188281947
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRAINERD, MN
| Name | Credential | NPI |
|---|---|---|
| DALE R SCHIBONSKI | — | 1750305942 |
| SCOTT T RICHARDS | MPT | 1902904485 |
| LARS T GUSTAFSON | MPT | 1023116506 |
| MARK BRADLEY HOARD | PT | 1710066659 |
| MS. SHELAGH DOHERTY CARLSON | PT | 1447465372 |
| MICHAEL GOTTI | L.P.T. | 1649466236 |
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.