Provider Demographics
NPI:1427716562
Name:STROMBERG, ALEXI
Entity type:Individual
Prefix:
First Name:ALEXI
Middle Name:
Last Name:STROMBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 KING AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2125
Mailing Address - Country:US
Mailing Address - Phone:734-895-5126
Mailing Address - Fax:
Practice Address - Street 1:730 MOUNT AIRYSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1364
Practice Address - Country:US
Practice Address - Phone:614-888-7288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant