Provider Demographics
NPI:1700176112
Name:STECKMAN, KRISTA ELEANOR (DPT)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:ELEANOR
Last Name:STECKMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5377 MANHATTAN CIR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-4333
Mailing Address - Country:US
Mailing Address - Phone:303-601-7495
Mailing Address - Fax:888-433-8309
Practice Address - Street 1:5377 MANHATTAN CIR
Practice Address - Street 2:SUITE 104
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-4333
Practice Address - Country:US
Practice Address - Phone:303-601-7495
Practice Address - Fax:888-433-8309
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist