Provider Demographics
NPI:1275946998
Name:STEELE, LUKE RANDALL (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:RANDALL
Last Name:STEELE
Suffix:
Gender:M
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 E SOUTHLAWN DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50320-2750
Mailing Address - Country:US
Mailing Address - Phone:319-239-7829
Mailing Address - Fax:515-263-6145
Practice Address - Street 1:1200 GRANDVIEW AVE BSMT
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316-1529
Practice Address - Country:US
Practice Address - Phone:515-263-6045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36002200A2255A2300X
IA0007282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer