MEDICARE: SHARON L BOLLING

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
1	225700000X	Massage Therapist		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235880725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON L BOLLING

Provider Business Mailing Address
First Line	:	2702 MERRITTVIEW LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1638
Country	:	US
Telephone Number	:	859-547-2185
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 MERRITTVIEW LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-1638
Country	:	US
Telephone Number	:	859-547-2185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2022
Last Update Date	:	01/16/2022

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Directions to “ SHARON L BOLLING ” Practice Location

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