Provider Demographics
NPI:1265794473
Name:STEFFEN, RAENA MARIE (MS, LAT, ATC, CKTP)
Entity type:Individual
Prefix:MS
First Name:RAENA
Middle Name:MARIE
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:MS, LAT, ATC, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8432 AUKARI CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6753
Mailing Address - Country:US
Mailing Address - Phone:813-838-1332
Mailing Address - Fax:
Practice Address - Street 1:8432 AUKARI CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6753
Practice Address - Country:US
Practice Address - Phone:813-838-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL27052255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer