Provider Demographics
NPI:1144469545
Name:STEFFEN, TRACY JO (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:JO
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 WARTBURG BLVD
Mailing Address - Street 2:DEPT. OF ATHLETICS - WARTBURG COLLEGE
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-2215
Mailing Address - Country:US
Mailing Address - Phone:319-352-8741
Mailing Address - Fax:319-352-8528
Practice Address - Street 1:100 WARTBURG BLVD
Practice Address - Street 2:DEPT. OF ATHLETICS - WARTBURG COLLEGE
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-2215
Practice Address - Country:US
Practice Address - Phone:319-352-8741
Practice Address - Fax:319-352-8528
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer