Provider Demographics
NPI:1083082432
Name:STEFFES, REGAN MCKAYLA
Entity Type:Individual
Prefix:
First Name:REGAN
Middle Name:MCKAYLA
Last Name:STEFFES
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 1:2411 ASPEN PINES DR
Mailing Address - Street 2:
Mailing Address - City:WILDER
Mailing Address - State:KY
Mailing Address - Zip Code:41071-0443
Mailing Address - Country:US
Mailing Address - Phone:419-633-2787
Mailing Address - Fax:
Practice Address - Street 1:9828 STATE ROUTE 107
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:OH
Practice Address - Zip Code:43543-9255
Practice Address - Country:US
Practice Address - Phone:419-633-2787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer