Provider Demographics
NPI:1518112747
Name:SOOST, JULIE KAY BUETTNER (DC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY BUETTNER
Last Name:SOOST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KAY
Other - Last Name:BUETTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:31 NAVAHO AVE
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6798
Mailing Address - Country:US
Mailing Address - Phone:507-345-4035
Mailing Address - Fax:507-345-4122
Practice Address - Street 1:31 NAVAHO AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6798
Practice Address - Country:US
Practice Address - Phone:507-345-4035
Practice Address - Fax:507-345-4122
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor