Provider Demographics
NPI:1295391126
Name:STEEL, KENZIE RENAE (COTA/L)
Entity type:Individual
Prefix:
First Name:KENZIE
Middle Name:RENAE
Last Name:STEEL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 CORNFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-9750
Mailing Address - Country:US
Mailing Address - Phone:717-994-8720
Mailing Address - Fax:
Practice Address - Street 1:269 CORNFIELD CIR
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-9750
Practice Address - Country:US
Practice Address - Phone:717-994-8720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant