Provider Demographics
NPI:1326331067
Name:STEINHAUS, TIM (MS, ATC/L, RN)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:
Last Name:STEINHAUS
Suffix:
Gender:M
Credentials:MS, ATC/L, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8229 CLAYTON RD
Mailing Address - Street 2:204
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1155
Mailing Address - Country:US
Mailing Address - Phone:314-721-7325
Mailing Address - Fax:314-721-1157
Practice Address - Street 1:8229 CLAYTON RD
Practice Address - Street 2:204
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1155
Practice Address - Country:US
Practice Address - Phone:314-721-7325
Practice Address - Fax:314-721-1157
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO123380163WR0006X
MO20010087232255A2300X
IL0960028472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer