Provider Demographics
NPI:1083769848
Name:STEELMAN, KRISTI VARNADO (PT)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:VARNADO
Last Name:STEELMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2236
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72654-2236
Mailing Address - Country:US
Mailing Address - Phone:870-424-5747
Mailing Address - Fax:870-424-2022
Practice Address - Street 1:636 OLD TRACY RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-7482
Practice Address - Country:US
Practice Address - Phone:870-424-5747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5T582OtherBCBS