Provider Demographics
NPI:1750669875
Name:STEINMETZ, SUE A (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUE
Middle Name:A
Last Name:STEINMETZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 E 750 S
Mailing Address - Street 2:
Mailing Address - City:FORT BRANCH
Mailing Address - State:IN
Mailing Address - Zip Code:47648-8410
Mailing Address - Country:US
Mailing Address - Phone:812-753-5924
Mailing Address - Fax:812-753-5924
Practice Address - Street 1:253 E 750 S
Practice Address - Street 2:
Practice Address - City:FORT BRANCH
Practice Address - State:IN
Practice Address - Zip Code:47648-8410
Practice Address - Country:US
Practice Address - Phone:812-753-5924
Practice Address - Fax:812-753-5924
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05001599A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist