Provider Demographics
NPI:1902011380
Name:STEELE, SHANNAN M (MSPT)
Entity Type:Individual
Prefix:
First Name:SHANNAN
Middle Name:M
Last Name:STEELE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 ERICA COURT
Mailing Address - Street 2:
Mailing Address - City:DACONO
Mailing Address - State:CO
Mailing Address - Zip Code:80514
Mailing Address - Country:US
Mailing Address - Phone:303-905-1904
Mailing Address - Fax:
Practice Address - Street 1:651 POTOMAC
Practice Address - Street 2:ADVANTAGE THERAPY UNIT A
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011
Practice Address - Country:US
Practice Address - Phone:303-365-0087
Practice Address - Fax:303-365-0772
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist