Healthcare Provider Details

I. General information

NPI: 1508635137
Provider Name (Legal Business Name): DANIELLE STEINMETZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 ORTING KAPOWSIN HWY E
ORTING WA
98360-9550
US

IV. Provider business mailing address

30228 SE 402ND ST
ENUMCLAW WA
98022-9747
US

V. Phone/Fax

Practice location:
  • Phone: 360-893-4515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberP160092304
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: