Provider Demographics
NPI:1770824252
Name:STEP REHABILITATION, LLC
Entity Type:Organization
Organization Name:STEP REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:903-316-6001
Mailing Address - Street 1:1828 E SOUTHEAST LOOP 323 STE 113
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8314
Mailing Address - Country:US
Mailing Address - Phone:903-592-2900
Mailing Address - Fax:903-384-6046
Practice Address - Street 1:1828 E SOUTHEAST LOOP 323 STE 113
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8314
Practice Address - Country:US
Practice Address - Phone:903-592-2900
Practice Address - Fax:903-384-6046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1176643251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health