Provider Demographics
NPI:1316356348
Name:SENSATIONAL STEPS THERAPY, INC
Entity Type:Organization
Organization Name:SENSATIONAL STEPS THERAPY, INC
Other - Org Name:SENSATIONAL STEPS THERAPY, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STEARNS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:616-402-6997
Mailing Address - Street 1:533 WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-2139
Mailing Address - Country:US
Mailing Address - Phone:616-402-6997
Mailing Address - Fax:616-499-4968
Practice Address - Street 1:533 WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2139
Practice Address - Country:US
Practice Address - Phone:616-402-6997
Practice Address - Fax:616-499-4968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0200X, 235Z00000X, 261QM1300X
MI5201008825261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation