Provider Demographics
NPI:1881894301
Name:STEELE, CHRISTY DAWN (OTR/L)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:DAWN
Last Name:STEELE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:DAWN
Other - Last Name:KIMMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3008 E AUGUSTA ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-6101
Mailing Address - Country:US
Mailing Address - Phone:918-687-3012
Mailing Address - Fax:
Practice Address - Street 1:23047 E 830 RD
Practice Address - Street 2:
Practice Address - City:WELLING
Practice Address - State:OK
Practice Address - Zip Code:74471-2144
Practice Address - Country:US
Practice Address - Phone:918-453-9896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1041225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist