Provider Demographics
NPI:1710526462
Name:CAVINS, STEVEN (ATC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:CAVINS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4151 SWAN RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:MI
Mailing Address - Zip Code:48166-6603
Mailing Address - Country:US
Mailing Address - Phone:419-350-0278
Mailing Address - Fax:
Practice Address - Street 1:35765 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-3647
Practice Address - Country:US
Practice Address - Phone:734-941-2126
Practice Address - Fax:734-941-2283
Is Sole Proprietor?:No
Enumeration Date:2019-12-29
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer