Provider Demographics
NPI:1831380625
Name:STEELE, SHAWN DENISE (LPTA)
Entity type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:DENISE
Last Name:STEELE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 STONEMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-2399
Mailing Address - Country:US
Mailing Address - Phone:804-852-4594
Mailing Address - Fax:
Practice Address - Street 1:7090 COVENANT WDS DR
Practice Address - Street 2:REHAB DEPARTMENT
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-7025
Practice Address - Country:US
Practice Address - Phone:804-569-8697
Practice Address - Fax:804-569-8686
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306001219225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant