Provider Demographics
NPI:1992061907
Name:OSBORNE, STEVEN LEE (LMT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:OSBORNE
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4377
Mailing Address - Country:US
Mailing Address - Phone:406-314-3111
Mailing Address - Fax:
Practice Address - Street 1:847 W CENTER ST
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4377
Practice Address - Country:US
Practice Address - Phone:406-314-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist