Provider Demographics
NPI:1659717783
Name:STRATHMAN, KRISTINE RENEE (COTA)
Entity Type:Individual
Prefix:MISS
First Name:KRISTINE
Middle Name:RENEE
Last Name:STRATHMAN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MISS
Other - First Name:KRIS
Other - Middle Name:RENEE
Other - Last Name:STRATHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA
Mailing Address - Street 1:5239 SW WEST DR APT B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2508
Mailing Address - Country:US
Mailing Address - Phone:785-545-6882
Mailing Address - Fax:
Practice Address - Street 1:5239 SW WEST DR APT B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2508
Practice Address - Country:US
Practice Address - Phone:785-545-6882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00831261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation