Provider Demographics
NPI:1932691375
Name:STEFFEN, KARA KRISTINE (MAE)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:KRISTINE
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:MAE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11009 SONGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:PEOSTA
Mailing Address - State:IA
Mailing Address - Zip Code:52068-9694
Mailing Address - Country:US
Mailing Address - Phone:563-582-2611
Mailing Address - Fax:
Practice Address - Street 1:11009 SONGBIRD DR
Practice Address - Street 2:
Practice Address - City:PEOSTA
Practice Address - State:IA
Practice Address - Zip Code:52068-9694
Practice Address - Country:US
Practice Address - Phone:563-582-2611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist