Provider Demographics
NPI:1891141461
Name:STEELE THERAPY SERVICES
Entity Type:Organization
Organization Name:STEELE THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-SLP, C/NDT
Authorized Official - Phone:954-218-0806
Mailing Address - Street 1:820 NW 73RD TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1030
Mailing Address - Country:US
Mailing Address - Phone:954-218-0806
Mailing Address - Fax:754-779-7859
Practice Address - Street 1:820 NW 73RD TER
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-1030
Practice Address - Country:US
Practice Address - Phone:954-218-0806
Practice Address - Fax:754-779-7859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006567300Medicaid