Betsy M. Soukup, PTA

Physical Therapy Assistant · Winnebago, WI

Individual Active NPI

NPI number 1376699314

Practice location

725 Butler Avenue
Winnebago, WI 54985-0010
Phone
(920) 235-5100
Fax
(920) 233-7352

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NPI record

NPI
1376699314
Entity type
Individual (Type 1)
Enumeration date
January 25, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 714019 WI

Mailing address

1541 Oak St
Oshkosh, WI 54901
Phone
(920) 231-5492
Fax
(920) 233-7352

About Betsy Soukup

Betsy M. Soukup, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 725 Butler Avenue, Winnebago, WI 54985-0010. The NPI number 1376699314 was assigned on January 25, 2007 and the record was last updated on July 8, 2007.

Betsy Soukup lists a license in the registry: #714019 (WI) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Betsy M. Soukup, PTA?

The NPI number is 1376699314.

What is the phone number of Betsy Soukup?

The phone number listed for the practice location is (920) 235-5100.

Where is Betsy Soukup located?

725 Butler Avenue, Winnebago, WI 54985-0010.

What is the taxonomy code for Betsy Soukup?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.