Provider Demographics
NPI:1295758605
Name:STEINKE, KARIN D (PT)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:D
Last Name:STEINKE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FLEMING RD
Mailing Address - Street 2:
Mailing Address - City:SUN RIVER
Mailing Address - State:MT
Mailing Address - Zip Code:59483-9721
Mailing Address - Country:US
Mailing Address - Phone:406-264-5638
Mailing Address - Fax:
Practice Address - Street 1:1301 11TH AVE S
Practice Address - Street 2:EVERGREEN MALL
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-4654
Practice Address - Country:US
Practice Address - Phone:406-761-2222
Practice Address - Fax:406-761-7219
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT518171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT518OtherPHYSICAL THERAPY LICENSE