Provider Demographics
NPI:1457390635
Name:KOESTER, STEVEN P (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:P
Last Name:KOESTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 LONG HOLLOW PIKE, SUITE 206
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3658
Mailing Address - Country:US
Mailing Address - Phone:615-851-3900
Mailing Address - Fax:615-851-3933
Practice Address - Street 1:3050 BUSINESS PARK CIR STE 103
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3658
Practice Address - Country:US
Practice Address - Phone:615-851-3900
Practice Address - Fax:615-851-3933
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06812111N00000X
TN2810111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor