Provider Demographics
NPI:1316451388
Name:STEIDING, CAITLIN (ATC)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:STEIDING
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 SHADOW CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-1942
Mailing Address - Country:US
Mailing Address - Phone:707-775-7159
Mailing Address - Fax:
Practice Address - Street 1:1265 EL CAMINO REAL STE 100
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4257
Practice Address - Country:US
Practice Address - Phone:408-241-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20000295422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer