Healthcare Provider Details

I. General information

NPI: 1891339420
Provider Name (Legal Business Name): ALEXANDRIA JEAN STEPPE MSTCM, LAC, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3354 SACRAMENTO ST STE C
SAN FRANCISCO CA
94118-1948
US

IV. Provider business mailing address

156 9TH AVE APT 103
SAN FRANCISCO CA
94118-1259
US

V. Phone/Fax

Practice location:
  • Phone: 415-967-0193
  • Fax:
Mailing address:
  • Phone: 917-892-8249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC17834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: