MEDICARE: MS. SUE ANN M STEINHOFF LPT

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	2071	MN

General Provider Information

NPI Number	:	1073588190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUE ANN M STEINHOFF LPT

Provider Business Mailing Address
First Line	:	16213 277TH ST
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320-9663
Country	:	US
Telephone Number	:	320-685-8533
Fax Number	:	320-685-7975

Provider Business Practice Location Address
First Line	:	402 RED RIVER AVE.
Second Line	:	SUITE 6
City	:	COLD SPRING
State	:	MN
Zip	:	56320
Country	:	US
Telephone Number	:	320-685-7269
Fax Number	:	320-685-7975

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	07/08/2007

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