Provider Demographics
NPI:1750737912
Name:WHITE, STEVEN NEELY (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:NEELY
Last Name:WHITE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 E MOCKINGBIRD LN STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-2486
Mailing Address - Country:US
Mailing Address - Phone:918-497-6033
Mailing Address - Fax:
Practice Address - Street 1:6500 E MOCKINGBIRD LN STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-2486
Practice Address - Country:US
Practice Address - Phone:214-225-0134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist