Provider Demographics
NPI:1043336340
Name:STEADMAN, SALLY ANN
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:ANN
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14335 166TH PL SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-7523
Mailing Address - Country:US
Mailing Address - Phone:206-819-2225
Mailing Address - Fax:
Practice Address - Street 1:14335 166TH PL SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-7523
Practice Address - Country:US
Practice Address - Phone:206-819-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant