Provider Demographics
NPI:1639393218
Name:STEED-YOWELL, LIZZETTE E (PT)
Entity Type:Individual
Prefix:MRS
First Name:LIZZETTE
Middle Name:E
Last Name:STEED-YOWELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-6806
Mailing Address - Country:US
Mailing Address - Phone:812-283-7863
Mailing Address - Fax:812-285-9199
Practice Address - Street 1:3310 E 10TH ST # 200
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-7285
Practice Address - Country:US
Practice Address - Phone:812-283-7863
Practice Address - Fax:812-285-9199
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005392A225100000X, 2251P0200X
KY003195225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics