Healthcare Provider Details
I. General information
NPI: 1093598724
Provider Name (Legal Business Name): AUDRA STEIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/16/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2996 7TH AVE
MARION IA
52302-3713
US
IV. Provider business mailing address
2996 7TH AVE
MARION IA
52302-3713
US
V. Phone/Fax
- Phone: 319-369-7568
- Fax: 319-286-4347
- Phone: 319-369-7568
- Fax: 319-286-4347
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 118589 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: