Provider Demographics
NPI:1154709392
Name:STEINKE, MAGGIE
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:
Last Name:STEINKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N 19TH AVE
Mailing Address - Street 2:B-203
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-3527
Mailing Address - Country:US
Mailing Address - Phone:308-940-0644
Mailing Address - Fax:
Practice Address - Street 1:400 N 19TH AVE
Practice Address - Street 2:B-203
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-3527
Practice Address - Country:US
Practice Address - Phone:308-940-0644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13520225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant