MEDICARE: EMILY LAIRD

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	225100000X	Physical Therapist	PT016339	OH

General Provider Information

NPI Number	:	1497296073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY LAIRD

Provider Business Mailing Address
First Line	:	4214 EILEEN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1639
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4214 EILEEN DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-1639
Country	:	US
Telephone Number	:	513-502-1410
Fax Number	:

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

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	03/15/2017

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Directions to “ EMILY LAIRD ” Practice Location

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