Provider Demographics
NPI:1891485892
Name:BRODBECK, STEVEN S (LMT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:S
Last Name:BRODBECK
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3285B TURPIN LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-3446
Mailing Address - Country:US
Mailing Address - Phone:513-910-5543
Mailing Address - Fax:
Practice Address - Street 1:8041 HOSBROOK RD STE 404
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2909
Practice Address - Country:US
Practice Address - Phone:513-910-5543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.016097225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist