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MR. BRIAN VANSTEENBERGH MT
>> Mechanotherapist >> Other Service ProvidersRegistrant NPI Number: 1598997074
Individual Registrant:MR. BRIAN VANSTEENBERGH MT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
116 N WINTER ST .BOX 4092 MIDWAY, KY 40347 US
Tel: 859-846-4039 Fax: --
Tel: 859-846-4039 Fax: --
Contact information for business:
P.O.BOX 4092 116 N WINTER ST MIDWAY, KY 40347 US
Tel: 859-846-4039 Fax: --
Tel: 859-846-4039 Fax: --
Registration Information:
NPI: 1598997074
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172M00000X | Other Service Providers Mechanotherapist | KY | KY-0365 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
