Provider Demographics
NPI:1427615350
Name:VAN STEENKISTE, NY
Entity type:Individual
Prefix:
First Name:NY
Middle Name:
Last Name:VAN STEENKISTE
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 1:4015 W ARBY AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-5147
Mailing Address - Country:US
Mailing Address - Phone:619-962-4134
Mailing Address - Fax:
Practice Address - Street 1:1180 MILITARY TRIBUTE PL BLDG F
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8801
Practice Address - Country:US
Practice Address - Phone:702-799-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-27
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist