Provider Demographics
NPI:1629632005
Name:STEELE, KAILEY MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KAILEY
Middle Name:MARIE
Last Name:STEELE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:MARIE
Other - Last Name:MCCASTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:1701 SOUTH BLVD E # LL35
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6122
Mailing Address - Country:US
Mailing Address - Phone:248-853-4431
Mailing Address - Fax:248-853-5048
Practice Address - Street 1:1701 SOUTH BLVD E # LL35
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6122
Practice Address - Country:US
Practice Address - Phone:248-853-4431
Practice Address - Fax:248-853-5048
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502005172225200000X
MI5501302460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant