MEDICARE: ALEXI STROMBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1427716562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXI STROMBERG

Provider Business Mailing Address
First Line	:	1505 KING AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2125
Country	:	US
Telephone Number	:	734-895-5126
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 MOUNT AIRYSHIRE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1364
Country	:	US
Telephone Number	:	614-888-7288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2021
Last Update Date	:	12/06/2021

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Directions to “ ALEXI STROMBERG ” Practice Location

Language	Start Address	Practice Location

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