Provider Demographics
NPI:1669177150
Name:STEINLAGE, GREGORY (LMT)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:STEINLAGE
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 1:3305 SW 34TH CIR STE 203
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-6606
Mailing Address - Country:US
Mailing Address - Phone:352-351-5019
Mailing Address - Fax:
Practice Address - Street 1:3305 SW 34TH CIRCLE
Practice Address - Street 2:#203
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-351-5019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL77122225700000X
FLMA73122225700000X
FLMA77122225700000X
FL73122225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist