Provider Demographics
NPI:1710193859
Name:ORME, STEVEN C (ATC, MED)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:ORME
Suffix:
Gender:M
Credentials:ATC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 N STADIUM AVE
Mailing Address - Street 2:
Mailing Address - City:THATCHER
Mailing Address - State:AZ
Mailing Address - Zip Code:85552-5545
Mailing Address - Country:US
Mailing Address - Phone:801-510-1755
Mailing Address - Fax:
Practice Address - Street 1:615 N STADIUM AVE
Practice Address - Street 2:
Practice Address - City:THATCHER
Practice Address - State:AZ
Practice Address - Zip Code:85552-5545
Practice Address - Country:US
Practice Address - Phone:928-428-8413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0010692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer