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NPI Code Detail

MEDICARE: RALPH B SHEARER MPT

MEDICARE: RALPH B SHEARER MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT-10989OH

General Provider Information

NPI Number : 1205088424
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH B SHEARER MPT
Provider Business Mailing Address
First Line : 6276 LONDON PLATTSBURG RD
Second Line :
City : SOUTH CHARLESTON
State : OH
Zip : 45368-8801
Country : US
Telephone Number : 937-408-2829
Fax Number :
Provider Business Practice Location Address
First Line : 6276 LONDON PLATTSBURG RD
Second Line :
City : SOUTH CHARLESTON
State : OH
Zip : 45368-8801
Country : US
Telephone Number : 937-408-2829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 10/21/2008

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Directions to “ RALPH B SHEARER MPT” Practice Location

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