Provider Demographics
NPI:1245412832
Name:STEINHOFF, MANDI RENE (LMP)
Entity Type:Individual
Prefix:MS
First Name:MANDI
Middle Name:RENE
Last Name:STEINHOFF
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 N CENTER PKWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7161
Mailing Address - Country:US
Mailing Address - Phone:509-735-1109
Mailing Address - Fax:509-735-1767
Practice Address - Street 1:1020 N CENTER PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7161
Practice Address - Country:US
Practice Address - Phone:509-735-1109
Practice Address - Fax:509-735-1767
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00022026174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist