Provider Demographics
NPI: | 1326604166 |
---|---|
Name: | STEPPIN' STONES THERAPY, PLLC |
Entity type: | Organization |
Organization Name: | STEPPIN' STONES THERAPY, PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DONALD |
Authorized Official - Middle Name: | C |
Authorized Official - Last Name: | HILL, |
Authorized Official - Suffix: | JR |
Authorized Official - Credentials: | PT, PCS |
Authorized Official - Phone: | 208-410-7725 |
Mailing Address - Street 1: | 932 STARLIGHT LOOP |
Mailing Address - Street 2: | |
Mailing Address - City: | TWIN FALLS |
Mailing Address - State: | ID |
Mailing Address - Zip Code: | 83301-5181 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 208-410-7725 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 302 2ND AVE E |
Practice Address - Street 2: | |
Practice Address - City: | TWIN FALLS |
Practice Address - State: | ID |
Practice Address - Zip Code: | 83301-6425 |
Practice Address - Country: | US |
Practice Address - Phone: | 208-410-7725 |
Practice Address - Fax: | 877-994-3267 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-05-16 |
Last Update Date: | 2019-05-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Single Specialty |