MEDICARE: MICHELLE HOGAN-REEDER P.T.

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	PT05674	OH

General Provider Information

NPI Number	:	1821109174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE HOGAN-REEDER P.T.

Provider Business Mailing Address
First Line	:	912 HARMAN AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45419-3434
Country	:	US
Telephone Number	:	937-299-9080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 BUSINESS CENTER CT
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45410-3300
Country	:	US
Telephone Number	:	937-256-1411
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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