Provider Demographics
NPI:1215820006
Name:STROUB, ABIGAIL RAE
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:RAE
Last Name:STROUB
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 1:123 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-1476
Mailing Address - Country:US
Mailing Address - Phone:859-588-4010
Mailing Address - Fax:
Practice Address - Street 1:123 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-1476
Practice Address - Country:US
Practice Address - Phone:859-588-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer