Provider Demographics
NPI:1427361245
Name:STEELE, LINDSAY MICHELE (PTA)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:MICHELE
Last Name:STEELE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44475 KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5621
Mailing Address - Country:US
Mailing Address - Phone:206-734-6361
Mailing Address - Fax:
Practice Address - Street 1:31213 TEMECULA PKWY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6827
Practice Address - Country:US
Practice Address - Phone:951-506-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8966225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant