Healthcare Provider Details

I. General information

NPI: 1528752193
Provider Name (Legal Business Name): KAITLIN M STROEBELE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2023
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MILES ST
DAMARISCOTTA ME
04543-4047
US

IV. Provider business mailing address

1606 E 18TH ST
NORWALK IA
50211-2168
US

V. Phone/Fax

Practice location:
  • Phone: 207-563-1234
  • Fax:
Mailing address:
  • Phone: 515-473-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP046696T
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP029372T
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCPT024963T
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number120389
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: