Provider Demographics
NPI:1396054433
Name:STEFFY, JULIE HELEN (PTA)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:HELEN
Last Name:STEFFY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-1447
Mailing Address - Country:US
Mailing Address - Phone:850-459-4721
Mailing Address - Fax:
Practice Address - Street 1:5606 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-1447
Practice Address - Country:US
Practice Address - Phone:850-459-4721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 20245225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant