Healthcare Provider Details

I. General information

NPI: 1497177703
Provider Name (Legal Business Name): JOSEPH HOSMER LMT, PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2014
Last Update Date: 12/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 E STATE ST SUITE H
ATHENS OH
45701-2151
US

IV. Provider business mailing address

7558 LONGMEADOW LN
ATHENS OH
45701-9473
US

V. Phone/Fax

Practice location:
  • Phone: 740-589-5809
  • Fax: 740-249-1092
Mailing address:
  • Phone: 740-249-1133
  • Fax: 740-249-1139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.007750 H-K
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: