Healthcare Provider Details

I. General information

NPI: 1164327292
Provider Name (Legal Business Name): ADELINE FLORSCHUTZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADDIE FLORSCHUTZ

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 TONGASS DR
SITKA AK
99835-9416
US

IV. Provider business mailing address

217 S TORREY PINES DR
LAS VEGAS NV
89107-2509
US

V. Phone/Fax

Practice location:
  • Phone: 907-966-8347
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7089
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: