MR. KELLY SOUKUP, PT
Physical Therapist
Active
Individual
NPI: 1669419610
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 7269 (MN) |
Frequently Asked Questions
NPI 1669419610 is the National Provider Identifier for MR. KELLY SOUKUP, PT, a Physical Therapist provider located in Burnsville, MN. This NPI was enumerated on May 31, 2006.
MR. KELLY SOUKUP, PT practices at 1000 W 140TH ST, SUITE 202, Burnsville, MN 55337.
Quick Facts
- NPI
- 1669419610
- Type
- Individual
- Enumerated
- May 31, 2006
- Last Updated
- Apr 20, 2011
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