Provider Demographics
NPI:1134692791
Name:STEELE, LINDSEY RACHELL (COTA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RACHELL
Last Name:STEELE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 W DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:QULIN
Mailing Address - State:MO
Mailing Address - Zip Code:63961-8211
Mailing Address - Country:US
Mailing Address - Phone:573-429-2190
Mailing Address - Fax:
Practice Address - Street 1:300 FLOYD DR
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-3960
Practice Address - Country:US
Practice Address - Phone:573-472-0397
Practice Address - Fax:573-472-0409
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019000368202C00000X
2019000368224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner