Healthcare Provider Details

I. General information

NPI: 1932194180
Provider Name (Legal Business Name): STEVEN JOSEPH WOODSON MPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date: 03/22/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

173 MIDDLE ST
LANCASTER NH
03584-3508
US

IV. Provider business mailing address

260 BLACKBERRY LN
LITTLETON NH
03561-4450
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-5009
  • Fax: 603-788-5069
Mailing address:
  • Phone: 603-444-2574
  • Fax: 603-444-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3218
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00682800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: