Provider Demographics
NPI:1235688649
Name:TROXELL, STEPHANIE (DPT, PT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:TROXELL
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:MOELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, PT
Mailing Address - Street 1:615 NEWLOVE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:OH
Mailing Address - Zip Code:45368-7734
Mailing Address - Country:US
Mailing Address - Phone:937-631-2339
Mailing Address - Fax:
Practice Address - Street 1:2185 STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123
Practice Address - Country:US
Practice Address - Phone:614-539-5301
Practice Address - Fax:614-539-8658
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016637225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist