Provider Demographics
NPI:1417226218
Name:PICHE-STEINDLER, KATHLEEN (RMT, LLCC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:PICHE-STEINDLER
Suffix:
Gender:F
Credentials:RMT, LLCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 RIVERSIDE DR # 7C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4822
Mailing Address - Country:US
Mailing Address - Phone:646-943-1914
Mailing Address - Fax:
Practice Address - Street 1:100 RIVERSIDE DR # 7C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4822
Practice Address - Country:US
Practice Address - Phone:646-943-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024584225700000X
MA7568225700000X
TX018236225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist