IndividualActive
Alexis Koudelka, DPT
NPI 1821575010 · Physical Therapist · Providence, RI
Provider details
- NPI number
- 1821575010
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 23136 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
668 Eddy St
Providence, RI 02903-4942
Phone: (401) 430-7247
Approximate (ZIP-level) locationGet directions
Mailing address
668 Eddy St
Providence, RI 02903-4942
Registry dates
- Enumerated
- 2018-07-20
- Last updated
- 2018-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.