MEDICARE: LAURA HANDYSIDE STEININGER DPT

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	1198099	TX
2	225100000X	Physical Therapist	3493	ID
3	225100000X	Physical Therapist	60451317	WA

General Provider Information

NPI Number	:	1033421896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA HANDYSIDE STEININGER DPT

Provider Business Mailing Address
First Line	:	8382 N WAYNE DR STE 204
Second Line	:
City	:	HAYDEN
State	:	ID
Zip	:	83835-6028
Country	:	US
Telephone Number	:	208-719-9071
Fax Number	:	208-719-9073

Provider Business Practice Location Address
First Line	:	8382 N WAYNE DR STE 204
Second Line	:
City	:	HAYDEN
State	:	ID
Zip	:	83835-6028
Country	:	US
Telephone Number	:	208-719-9071
Fax Number	:	208-719-9073

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

Provider Enumeration Date	:	07/09/2010
Last Update Date	:	07/11/2023

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