Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Souriya Moua

Individual provider Physical Therapy Assistant · NPI 1710754049

Souriya Moua is a Physical Therapy Assistant in Anoka, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2023
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Practice location Address checks out

7637 Old Viking Blvd NW
Anoka, MN 55303-9714
Phone: (507) 530-4501
Fax: (763) 559-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A1907 (MN)

Record details

NPI number1710754049
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 6, 2023
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023
Mailing address7637 Old Viking Blvd Nw, Anoka, MN 55303-9714

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