Shelby Steidinger
Individual provider Active NPI Physical Therapy Assistant · Palmyra, MO
NPI 1295593135 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1295593135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2020029596 (MO)
- Practice address
- 1219 S Main St
Palmyra, MO 63461-1943 - Phone
- (573) 769-6166
- NPI assigned
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020029596 | MO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K.B. Therapy, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2020029596 | MO | Yes |
Addresses
Primary practice location
1219 S Main St
Palmyra, MO 63461-1943
Mailing address
PO Box 208
Palmyra, MO 63461-0208
Phone (573) 769-6166
Other providers in Palmyra, MO
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- Steinbrueck Chiropractic Health Center, LLC
- Randy E Steinbrueck
- Codey Stephens
- John Scott Stiffey
- Lisa Kristine Sutter
All providers in Palmyra, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.