Healthcare Provider Details
I. General information
NPI: 1366255697
Provider Name (Legal Business Name): KOREE L THATCHER BCHPT, HPMC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11711 PRINCETON PIKE BUILDING 201, SUITE 18
CINCINNATI OH
45246
US
IV. Provider business mailing address
1380 RANDOMHILL RD
CINCINNATI OH
45231
US
V. Phone/Fax
- Phone: 513-549-4602
- Fax:
- Phone: 513-549-4602
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: