Provider Demographics
NPI:1710616586
Name:STEELE, NOAH (OT)
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:STEELE
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 CRICKET CT
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:KY
Mailing Address - Zip Code:42025-6099
Mailing Address - Country:US
Mailing Address - Phone:270-703-5497
Mailing Address - Fax:
Practice Address - Street 1:94 CRICKET CT
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:KY
Practice Address - Zip Code:42025-6099
Practice Address - Country:US
Practice Address - Phone:270-703-5497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist