Healthcare Provider Details

I. General information

NPI: 1760612402
Provider Name (Legal Business Name): SHANNON MARIE STEINER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 07/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 27TH ST W SUITE B
BILLINGS MT
59102-8601
US

IV. Provider business mailing address

PO BOX 34
WORDEN MT
59088-0034
US

V. Phone/Fax

Practice location:
  • Phone: 406-651-9099
  • Fax: 406-651-4332
Mailing address:
  • Phone: 406-670-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2228PT
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: