Individual
KYLE STEFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
205 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4297
Mailing address
205 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4297
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2883-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2883-19
—
WI
Enumeration date
09/18/2019
Last updated
09/18/2019
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