Provider Demographics
NPI:1366565863
Name:STEFFEN, SHERRY JEAN (PT)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:JEAN
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2529 SHAWN CT NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-1262
Mailing Address - Country:US
Mailing Address - Phone:319-362-6994
Mailing Address - Fax:319-368-3399
Practice Address - Street 1:645 32ND AVE SW
Practice Address - Street 2:STE A
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-3907
Practice Address - Country:US
Practice Address - Phone:319-363-2901
Practice Address - Fax:319-363-2903
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist