Individual
JEFFERY LEE STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, DPT
Contact information
Practice address
355 N MARTIN JISCHKE DR, WELLNESS SUITE - PT, WEST LAFAYETTE, IN 47907-2030
(765) 494-1839
(765) 496-0079
Mailing address
355 N MARTIN JISCHKE DR, WELLNESS SUITE - PT, WEST LAFAYETTE, IN 47907-2030
(765) 494-1839
(765) 496-0079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007539A
IN
225100000X
Physical Therapist
070-019026
IL
2255A2300X
Athletic Trainer
3600945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05007539A
PT LICENSE
IN
01
—
36000945A
AT LICENSE
IN
Enumeration date
02/23/2006
Last updated
06/17/2015
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