Provider Demographics
NPI:1861775298
Name:STROBEL, KELLI ANGELINA (DPT)
Entity type:Individual
Prefix:
First Name:KELLI
Middle Name:ANGELINA
Last Name:STROBEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KELLI
Other - Middle Name:ANGELINA
Other - Last Name:THORP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15141 WHITTIER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2156
Mailing Address - Country:US
Mailing Address - Phone:562-945-1587
Mailing Address - Fax:562-696-9687
Practice Address - Street 1:15141 WHITTIER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2156
Practice Address - Country:US
Practice Address - Phone:562-945-1587
Practice Address - Fax:562-696-9687
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33732225100000X
CO11418225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist