Provider Demographics
NPI:1710433628
Name:STEINNAGEL, RYAN DANIEL (RRT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:DANIEL
Last Name:STEINNAGEL
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 S PHILAMENA PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-2914
Mailing Address - Country:US
Mailing Address - Phone:520-257-6881
Mailing Address - Fax:
Practice Address - Street 1:3130 S PHILAMENA PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-2914
Practice Address - Country:US
Practice Address - Phone:520-257-6881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ012021227800000X
AZ157286227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered