Healthcare Provider Details

I. General information

NPI: 1487569190
Provider Name (Legal Business Name): LINDIANNA JACLYN STEFFAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 W 36TH ST STE 100
ST LOUIS PARK MN
55416-5470
US

IV. Provider business mailing address

5050 W 36TH ST STE 100
ST LOUIS PARK MN
55416-5470
US

V. Phone/Fax

Practice location:
  • Phone: 952-925-4085
  • Fax:
Mailing address:
  • Phone: 952-925-4085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14482
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: