Individual
STEVEN D WARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
540 E YOUNG AVE, WARRENSBURG, MO 64093-1231
(660) 262-4795
(660) 747-0347
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(816) 226-4011
(816) 524-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001147
OPTUM
—
01
—
28257021
BCBS-KC
—
01
—
MA4370084
MEDICARE PTAN
MO
Enumeration date
02/18/2013
Last updated
10/08/2014
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