Healthcare Provider Details

I. General information

NPI: 1699349316
Provider Name (Legal Business Name): KATELYN STEINKEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 E RIGGS RD STE 104
SUN LAKES AZ
85248-7759
US

IV. Provider business mailing address

10450 E RIGGS RD STE 104
SUN LAKES AZ
85248-7759
US

V. Phone/Fax

Practice location:
  • Phone: 480-306-6627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number31313
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: