Individual
MICHAEL LEE SOUKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
203 THORNWOOD CT, DAYTON, NV 89403-8608
(775) 233-5281
Mailing address
203 THORNWOOD CT, DAYTON, NV 89403-8608
(775) 233-5281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2866
NV
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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