Individual
DR. STEVE MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC
Contact information
Practice address
100 S GLENVIEW DR, CARBONDALE, IL 62901-2238
(618) 559-8196
Mailing address
312 E 5TH ST, FULTON, MO 65251-1719
(618) 559-8196
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
2018003451
MO
2255A2300X
Athletic Trainer
2015028965
MO
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/22/2009
Last updated
02/08/2018
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