Provider Demographics
NPI:1528752193
Name:STROEBELE, KAITLIN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:
Last Name:STROEBELE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 TITUS CT
Mailing Address - Street 2:
Mailing Address - City:LE CLAIRE
Mailing Address - State:IA
Mailing Address - Zip Code:52753-1205
Mailing Address - Country:US
Mailing Address - Phone:515-473-0456
Mailing Address - Fax:
Practice Address - Street 1:2225 W SOUTHERN AVE STE B
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4716
Practice Address - Country:US
Practice Address - Phone:623-888-3502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120389225100000X
ORCP029372T225100000X
AZCPT024963T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist