Basic Information
| Provider Information | |||||||||
| NPI: | 1760612402 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEINER | ||||||||
| FirstName: | SHANNON | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 34 | ||||||||
| Address2: | |||||||||
| City: | WORDEN | ||||||||
| State: | MT | ||||||||
| PostalCode: | 590880034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066705544 | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 27TH ST W | ||||||||
| Address2: | SUITE B | ||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591028601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4066519099 | ||||||||
| FaxNumber: | 4066514332 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2009 | ||||||||
| LastUpdateDate: | 07/15/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2228PT | MT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.