Provider Demographics
NPI:1235517764
Name:STEED, SANDY (LMT)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:STEED
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:SANDY
Other - Middle Name:
Other - Last Name:STEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:IHP
Mailing Address - Street 1:211 PLEASANT HOME RD STE F3
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-0559
Mailing Address - Country:US
Mailing Address - Phone:706-495-5365
Mailing Address - Fax:
Practice Address - Street 1:211 PLEASANT HOME RD
Practice Address - Street 2:SUITE F1
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-0518
Practice Address - Country:US
Practice Address - Phone:706-495-5365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-17
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
GAMT004833225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach