NPI Code Details Logo

NPI 1992686778

NPI 1992686778 : KELSEY STROMBERG : HAZLET, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992686778
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KELSEY STROMBERG
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/09/2025
-----------------------------------------------------
    Last Update Date     |    09/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    266 MIDDLE RD 
-----------------------------------------------------
    City                 |    HAZLET
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07730-2348
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-888-9889
-----------------------------------------------------
    Fax                  |    732-888-9897
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    576 BROADHOLLOW RD 
-----------------------------------------------------
    City                 |    MELVILLE
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11747-5012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    631-359-5859
-----------------------------------------------------
    Fax                  |    631-396-0864
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.