Provider Demographics
NPI:1679320915
Name:SOELBERG, NEAL (PT, DPT)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:SOELBERG
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-3117
Mailing Address - Country:US
Mailing Address - Phone:406-633-4620
Mailing Address - Fax:
Practice Address - Street 1:204 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3117
Practice Address - Country:US
Practice Address - Phone:406-633-4620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist