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NPI Code Detail

MEDICARE: MARSHA ELAINE HATFIELD LPTA

MEDICARE:   MARSHA ELAINE HATFIELD  LPTA
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
1225200000XPhysical Therapy AssistantPTA02378OH

General Provider Information

NPI Number : 1750620464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSHA ELAINE HATFIELD LPTA
Provider Business Mailing Address
First Line : 1893 HENLEY DEEMER RD
Second Line :
City : MC DERMOTT
State : OH
Zip : 45652-9064
Country : US
Telephone Number : 740-372-3571
Fax Number :
Provider Business Practice Location Address
First Line : 10098 BEAR CREEK RD
Second Line :
City : LUCASVILLE
State : OH
Zip : 45648-9168
Country : US
Telephone Number : 740-259-5536
Fax Number : 740-259-2531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2013
Last Update Date : 02/01/2013

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Directions to “ MARSHA ELAINE HATFIELD LPTA” Practice Location

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