Provider Demographics
NPI:1700823812
Name:NAUERT, STEVEN L (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:NAUERT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 S BUCKNER BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2304
Mailing Address - Country:US
Mailing Address - Phone:214-381-4800
Mailing Address - Fax:214-381-4802
Practice Address - Street 1:4801 S BUCKNER BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2304
Practice Address - Country:US
Practice Address - Phone:214-381-4800
Practice Address - Fax:214-381-4802
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist