Provider Demographics
NPI:1245909423
Name:IVERSON, KRISTA LYNN-STEINBEISSER (MOT)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:LYNN-STEINBEISSER
Last Name:IVERSON
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 JUNCTION AVE
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:SD
Mailing Address - Zip Code:57785-2358
Mailing Address - Country:US
Mailing Address - Phone:605-720-2400
Mailing Address - Fax:
Practice Address - Street 1:2140 JUNCTION AVE
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:SD
Practice Address - Zip Code:57785-2358
Practice Address - Country:US
Practice Address - Phone:605-720-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-10
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1206225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist