Provider Demographics
NPI:1972837268
Name:STEFFES, SUSAN AVE' (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:AVE'
Last Name:STEFFES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13401 GALLERIA CIR
Mailing Address - Street 2:APT 242
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6374
Mailing Address - Country:US
Mailing Address - Phone:512-231-1167
Mailing Address - Fax:
Practice Address - Street 1:3160 BEE CAVES RD
Practice Address - Street 2:SUITE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5802
Practice Address - Country:US
Practice Address - Phone:512-327-3723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-20
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1096964225100000X
TX4546374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No374J00000XNursing Service Related ProvidersDoula