Provider Demographics
NPI:1356390421
Name:RONSPIES, STEVEN LEE (ATC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LEE
Last Name:RONSPIES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6232 N 158TH AVENUE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4027
Mailing Address - Country:US
Mailing Address - Phone:402-492-9326
Mailing Address - Fax:402-861-6689
Practice Address - Street 1:6232 N 158TH AVENUE CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-4027
Practice Address - Country:US
Practice Address - Phone:402-492-9326
Practice Address - Fax:402-861-6689
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE492255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer