Provider Demographics
NPI:1497493910
Name:STEARNS, STEVEN DONALD (DPT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:DONALD
Last Name:STEARNS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11225 19TH AVE SE APT M102
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-5141
Mailing Address - Country:US
Mailing Address - Phone:931-334-9585
Mailing Address - Fax:
Practice Address - Street 1:3013 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1723
Practice Address - Country:US
Practice Address - Phone:360-603-9642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61282789208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation