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Individual
NATHAN SOUHEAVER
Active
Individual
NATHAN SOUHEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16644-24
WI
225100000X
Physical Therapist
PTT39797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273608
—
WI
Enumeration date
12/27/2022
Last updated
05/23/2024
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