Provider Demographics
NPI:1811041007
Name:STEIGERWALD, KORI LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:KORI
Middle Name:LYNN
Last Name:STEIGERWALD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 CLOPTON BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-3915
Mailing Address - Country:US
Mailing Address - Phone:248-863-8566
Mailing Address - Fax:
Practice Address - Street 1:1111 CLOPTON BRIDGE DR
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-3915
Practice Address - Country:US
Practice Address - Phone:248-863-8566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009643225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist