| Doctor Name: | MRS. KATHERINE PRINDIVILLE SUFKA |
| NPI Number: | 1306149893 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 070013218 |
| Business Practice Address: | 2090 Woodwinds Dr Woodbury, MN - 551252522 |
| Business Phone Number: | 6519685801 |
| Business Fax Number: | 6519685899 |
| Mailing Address: | 710 Commerce Dr Ste 200, WOODBURY |
| State: | MN |
| Postal Code: | 551254925 |
| Phone Number: | 6519685042 |
| Fax Number: | 6519685904 |
| NPI Enumeration Date: | 12/06/2010 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070013218 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |