Healthcare Provider Details

I. General information

NPI: 1700892262
Provider Name (Legal Business Name): STEVEN ARTHUR NORMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 S SIBLEY AVE
LITCHFIELD MN
55355-3340
US

IV. Provider business mailing address

702 S CHANDLER AVE
LITCHFIELD MN
55355-3404
US

V. Phone/Fax

Practice location:
  • Phone: 320-693-4528
  • Fax: 320-693-4561
Mailing address:
  • Phone: 320-693-6637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1572
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: