KELLY J SOUKUP

BURNSVILLE, MN
NPI1669419610
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  7269)
Enumeration Date2006-05-31
Last Update Date2011-04-20
Business Address
Mr. KELLY J SOUKUP PT
1000 W 140TH ST SUITE 202
BURNSVILLE, MN 55337-4480
Phone number: 952-808-3052
Mailing Address
Mr. KELLY J SOUKUP PT
19052 INMAN TRL
LAKEVILLE, MN 55044-4701
Phone number: 952-469-6925
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