Provider Demographics
NPI:1255663027
Name:STROMEI, CONNIE (LMT)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:STROMEI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 66328
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87193-6328
Mailing Address - Country:US
Mailing Address - Phone:505-550-9933
Mailing Address - Fax:
Practice Address - Street 1:6341 RIVERSIDE PLAZA LN NW
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-2646
Practice Address - Country:US
Practice Address - Phone:505-550-9933
Practice Address - Fax:505-792-7587
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3804172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist