Provider Demographics
NPI:1902023914
Name:DUKE, STEVEN FLOYD (OTR)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:FLOYD
Last Name:DUKE
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 471
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:UT
Mailing Address - Zip Code:84535-0471
Mailing Address - Country:US
Mailing Address - Phone:435-587-1033
Mailing Address - Fax:
Practice Address - Street 1:180 W 200 S
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:UT
Practice Address - Zip Code:84535-0471
Practice Address - Country:US
Practice Address - Phone:435-587-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT373355-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist