Provider Demographics
NPI:1730560251
Name:STEADMAN, KORBYN LYNN (PT, DPT)
Entity type:Individual
Prefix:
First Name:KORBYN
Middle Name:LYNN
Last Name:STEADMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16052 FOSTER ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8876
Mailing Address - Country:US
Mailing Address - Phone:913-897-8960
Mailing Address - Fax:
Practice Address - Street 1:16052 FOSTER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-8876
Practice Address - Country:US
Practice Address - Phone:913-897-8960
Practice Address - Fax:913-897-8962
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05169225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist