Provider Demographics
NPI:1811129166
Name:STEPWISE HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:STEPWISE HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:904-607-4007
Mailing Address - Street 1:190 COUNTY ROAD 35
Mailing Address - Street 2:
Mailing Address - City:BUNNELL
Mailing Address - State:FL
Mailing Address - Zip Code:32110-4893
Mailing Address - Country:US
Mailing Address - Phone:904-607-4007
Mailing Address - Fax:385-586-0729
Practice Address - Street 1:190 COUNTY ROAD 35
Practice Address - Street 2:
Practice Address - City:BUNNELL
Practice Address - State:FL
Practice Address - Zip Code:32110-4893
Practice Address - Country:US
Practice Address - Phone:904-607-4007
Practice Address - Fax:385-586-0729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21943225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty