MEDICARE: BRIAN G STEIP P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	9696	CO
2	225100000X	Physical Therapist	005964	KY

General Provider Information

NPI Number	:	1023254695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN G STEIP P.T.

Provider Business Mailing Address
First Line	:	2700 STANLEY GAULT PKWY
Second Line	:	STE 129
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5176
Country	:	US
Telephone Number	:	270-326-3946
Fax Number	:	270-326-3954

Provider Business Practice Location Address
First Line	:	605 S JEFFERSON ST
Second Line	:
City	:	PRINCETON
State	:	KY
Zip	:	42445-2173
Country	:	US
Telephone Number	:	270-365-1585
Fax Number	:	270-365-9377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2008
Last Update Date	:	06/26/2019

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