Provider Demographics
NPI:1366257248
Name:BALZ, STEVEN JOSEPH
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JOSEPH
Last Name:BALZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 STONE LAKES DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-5071
Mailing Address - Country:US
Mailing Address - Phone:502-472-3249
Mailing Address - Fax:
Practice Address - Street 1:6129 AIRPORT HOTELS BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-3288
Practice Address - Country:US
Practice Address - Phone:502-965-3688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009267225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist