Provider Demographics
NPI:1497204986
Name:STEINER, SEPP
Entity Type:Individual
Prefix:
First Name:SEPP
Middle Name:
Last Name:STEINER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 COOPER ST APT 314
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-2032
Mailing Address - Country:US
Mailing Address - Phone:406-407-5478
Mailing Address - Fax:
Practice Address - Street 1:2075 COOPER ST APT 314
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59808-2032
Practice Address - Country:US
Practice Address - Phone:406-407-5478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT11101225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist