Provider Demographics
NPI:1952750101
Name:STEINKRAUS-VINLUAN, KIERSTEN RUTH (DPT)
Entity Type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:RUTH
Last Name:STEINKRAUS-VINLUAN
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 1:5949 HOWE LN
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-8996
Mailing Address - Country:US
Mailing Address - Phone:307-760-8883
Mailing Address - Fax:
Practice Address - Street 1:1331 PRAIRIE AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009
Practice Address - Country:US
Practice Address - Phone:307-637-4617
Practice Address - Fax:307-637-3568
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist