Provider Demographics
NPI:1861607897
Name:HODYNSKY, VIKTORIA A (CMMT, CMT)
Entity type:Individual
Prefix:MS
First Name:VIKTORIA
Middle Name:A
Last Name:HODYNSKY
Suffix:
Gender:F
Credentials:CMMT, CMT
Other - Prefix:DR
Other - First Name:VIKTORIA
Other - Middle Name:
Other - Last Name:ATAMASHKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2808 SILVER LN NE
Mailing Address - Street 2:#308
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-3468
Mailing Address - Country:US
Mailing Address - Phone:612-781-0229
Mailing Address - Fax:
Practice Address - Street 1:1310 HIGHWAY 96 E
Practice Address - Street 2:#214
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3624
Practice Address - Country:US
Practice Address - Phone:651-429-0706
Practice Address - Fax:612-788-4065
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist