Provider Demographics
NPI:1225637317
Name:STROH, ALEXSYS CAMERAN
Entity Type:Individual
Prefix:MISS
First Name:ALEXSYS
Middle Name:CAMERAN
Last Name:STROH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 S BURLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-2446
Mailing Address - Country:US
Mailing Address - Phone:760-717-9008
Mailing Address - Fax:
Practice Address - Street 1:1349 S BURLINGTON ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-2446
Practice Address - Country:US
Practice Address - Phone:760-717-9008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer