Doctor Name: | KIMBERLY SODERHOLM |
NPI Number: | 1326219601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 800 |
Business Practice Address: | 109 3rd St E Ecse Lodeon Center West Fargo, ND - 580781817 |
Business Phone Number: | 7013562115 |
Business Fax Number: | |
Mailing Address: | 109 3rd St E, Ecse Lodeon Center WEST FARGO |
State: | ND |
Postal Code: | 580781817 |
Phone Number: | 7013562115 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2008 |
NPI Last Update Date: | 03/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ND |
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 |