Provider Demographics
NPI:1326457250
Name:TROSTERUD, DENEE ROCHELLE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DENEE
Middle Name:ROCHELLE
Last Name:TROSTERUD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DENEE
Other - Middle Name:ROCHELLE
Other - Last Name:STENTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-362-8684
Practice Address - Street 1:3645 MARKETPLACE BLVD
Practice Address - Street 2:STE 160
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-5747
Practice Address - Country:US
Practice Address - Phone:404-344-2823
Practice Address - Fax:404-629-3737
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011614225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist