Provider Demographics
NPI:1790142032
Name:STRAATMANN, PAIGE M
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:M
Last Name:STRAATMANN
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 1:117 4 SEASONS LN
Mailing Address - Street 2:
Mailing Address - City:VILLA RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63089-1517
Mailing Address - Country:US
Mailing Address - Phone:636-388-2033
Mailing Address - Fax:
Practice Address - Street 1:117 4 SEASONS LN
Practice Address - Street 2:
Practice Address - City:VILLA RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63089-1517
Practice Address - Country:US
Practice Address - Phone:636-388-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-18
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer