Basic Information
| Provider Information | |||||||||
| NPI: | 1356390421 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RONSPIES | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | A.T.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6232 N 158TH AVENUE CIR | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681164027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024929326 | ||||||||
| FaxNumber: | 4028616689 | ||||||||
| Practice Location | |||||||||
| Address1: | 6232 N 158TH AVENUE CIR | ||||||||
| Address2: | |||||||||
| City: | OMAHA | ||||||||
| State: | NE | ||||||||
| PostalCode: | 681164027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4024929326 | ||||||||
| FaxNumber: | 4028616689 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2255A2300X | 49 | NE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No ID Information.