Doctor Name: | MR. PETER GERING SKUPEKO |
NPI Number: | 1023202561 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 2548 |
Business Practice Address: | 1325 Eldridge Ave W Roseville, MN - 551135917 |
Business Phone Number: | 6516391615 |
Business Fax Number: | 6516391615 |
Mailing Address: | 2233 Hamline Ave N, Suite 215 ROSEVILLE |
State: | MN |
Postal Code: | 551135009 |
Phone Number: | 6516391625 |
Fax Number: | 6516391615 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |