Provider Demographics
NPI:1508325788
Name:SANTOYO VOLK, SONIA ELISA
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:ELISA
Last Name:SANTOYO VOLK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:ELISA
Other - Last Name:SANTOYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:EH HOME CARE WEST-DL
Mailing Address - Street 2:114 FRAZEE STREET EAST
Mailing Address - City:DETROIT LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55601
Mailing Address - Country:US
Mailing Address - Phone:218-847-0808
Mailing Address - Fax:218-847-0850
Practice Address - Street 1:EH HOME CARE WEST-DL
Practice Address - Street 2:114 FRAZEE STREET EAST
Practice Address - City:DETROIT LAKES
Practice Address - State:MN
Practice Address - Zip Code:55601
Practice Address - Country:US
Practice Address - Phone:218-847-0808
Practice Address - Fax:218-847-0850
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10525225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist