MEDICARE: JULIE SOYKA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	4388-24	WI

General Provider Information

NPI Number	:	1144646316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE SOYKA PT

Provider Business Mailing Address
First Line	:	1300 S GREEN BAY RD
Second Line	:	#205
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53406-4469
Country	:	US
Telephone Number	:	262-898-3930
Fax Number	:	262-898-3933

Provider Business Practice Location Address
First Line	:	1300 S GREEN BAY RD
Second Line	:	#205
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53406-4469
Country	:	US
Telephone Number	:	262-898-3930
Fax Number	:	262-898-3933

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2014
Last Update Date	:	03/12/2014

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Directions to “ JULIE SOYKA PT” Practice Location

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