Provider Demographics
NPI:1730566910
Name:STEUBINGER, TERRIE (LMT)
Entity type:Individual
Prefix:
First Name:TERRIE
Middle Name:
Last Name:STEUBINGER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 N UNIVERSITY ST
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61614-4799
Mailing Address - Country:US
Mailing Address - Phone:309-693-2225
Mailing Address - Fax:309-693-2228
Practice Address - Street 1:5001 N UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-4799
Practice Address - Country:US
Practice Address - Phone:309-693-2225
Practice Address - Fax:309-693-2228
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.013443225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL227.013443OtherSTATE OF ILLINOIS LMT