Provider Demographics
NPI:1053347047
Name:STEENBURGH, ERIC MICHAEL (MSPT)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:MICHAEL
Last Name:STEENBURGH
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6841 SERENITY CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1846
Mailing Address - Country:US
Mailing Address - Phone:907-301-8609
Mailing Address - Fax:
Practice Address - Street 1:12050 INDUSTRY WAY
Practice Address - Street 2:HUFFMAN BUSINESS PARK BUILDING O
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3567
Practice Address - Country:US
Practice Address - Phone:907-341-5555
Practice Address - Fax:907-341-5755
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1515225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK153088Medicare ID - Type Unspecified