Provider Demographics
NPI:1750713442
Name:STROH, KRISTI MARIE (DPT)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:MARIE
Last Name:STROH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:KRISTI
Other - Middle Name:MARIE
Other - Last Name:LAURENZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:218-786-8364
Mailing Address - Fax:
Practice Address - Street 1:4289 UGSTAD RD
Practice Address - Street 2:
Practice Address - City:HERMANTOWN
Practice Address - State:MN
Practice Address - Zip Code:55811-3615
Practice Address - Country:US
Practice Address - Phone:218-786-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist