Provider Demographics
NPI:1891339420
Name:STEPPE, ALEXANDRIA JEAN (MSTCM, LAC, LMT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:JEAN
Last Name:STEPPE
Suffix:
Gender:F
Credentials:MSTCM, LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 9TH AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1259
Mailing Address - Country:US
Mailing Address - Phone:917-892-8249
Mailing Address - Fax:
Practice Address - Street 1:3354 SACRAMENTO ST STE C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1948
Practice Address - Country:US
Practice Address - Phone:415-967-0193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225700000X
CAAC17834171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist