Provider Demographics
NPI:1679987523
Name:STEED, LYSETTE MICHELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LYSETTE
Middle Name:MICHELLE
Last Name:STEED
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LYSETTE
Other - Middle Name:
Other - Last Name:BURATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5202 TEXANA DR APT 213
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3773
Mailing Address - Country:US
Mailing Address - Phone:830-734-1577
Mailing Address - Fax:
Practice Address - Street 1:4910 GOLDEN QUAIL # 140
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1540
Practice Address - Country:US
Practice Address - Phone:210-561-8186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1247545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist