Provider Demographics
NPI:1033279971
Name:STEINBACH, CARRIE I (PT, MS)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:I
Last Name:STEINBACH
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 NORTH NEW BALLAS ROAD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6825
Mailing Address - Country:US
Mailing Address - Phone:314-997-8700
Mailing Address - Fax:314-997-8799
Practice Address - Street 1:555 NORTH NEW BALLAS ROAD
Practice Address - Street 2:SUITE 225
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6825
Practice Address - Country:US
Practice Address - Phone:314-997-8700
Practice Address - Fax:314-997-8799
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO118628225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
223271806Medicare PIN